Job Seeker application form

Your Name (required)

surname

Cellphone number

Tellphone number

In Case of Emergency Contact person

Contact Number

Your Physical Address

Email

Nationality

Date of Birth

ID Number/Passport number

Gender

Marital Status

Your Language

Language that you can speak

Language that you can write

Religion

Ethnic Group

Do you have any child care experience with contactable references?

Have you completed your Matric or Gr.12 equivalent?

Do you hold a valid First Aid/CPR Certificate?

Is your criminal record clear (ie. no criminal record)?

Are you in good health?

If no,tell us your illness

Do you have a driver’s license?

Do you smoke?

Do you consume any prescribed drugs or medication (If yes, please specify)?

Do you suffer from any physical illnesses or disabilities? If yes, please specify

Do you have any allergies, please specify?

Can you swim?

Have you completed matric

When are you available to start to work

How many years of childcare experience do you currently have?

What is the age of the youngest child you have cared for?

What kinds of activities do you enjoy doing with children?

Do you have any children of your own? If so, how old are they?

Please tell us a bit more about how you would describe yourself?

Can you cook?

Please tell us a bit more about your family?

Reference 1:

Reference Name (contact person)

Contact details (email, cell phone and landline if possible)

Period and reason for leaving

Number of children, age and gender of the children when you started?

What were your duties?

Reference 2:

Reference Name (contact person)

Contact details (email, cell phone and landline if possible)

Period and reason for leaving

Number of children, age and gender of the children when you started?

What were your duties?

Reference 3:

Reference Name (contact person)

Contact details (email, cell phone and landline if possible)

Period and reason for leaving

Number of children, age and gender of the children when you started?

What were your duties?

Attach CV :

A certified copy of your ID :

A certified copy of your Driver’s License :

A certified copy of your Matric certificate :

A recent colour photo of yourself :

your written references :

a lovely colour ID style photo :

 Agree to terms and conditions: I have read and fully understand the agreement between myself and Homelink as well terms and conditions of Homelink and therefore release of liability, indemnity and agree to all such terms and conditions.I confirm that the above information to the best of my knowledge to be correct and true and understand all the information stated above.