<p>FAMILY PROFILE</p><p>Please note Nanny Academy offers a no-obligation assessment and consultation based on your family profile FREE of charge. Fees apply only once you’re able to select candidates from our recommendations to proceed for the interviews. </p><p>The questionnaire below is intended to cover various family situations, please complete sections relevant to your needs and comfort level to disclose only. The information you share with us will allow us serve you better. </p><p>We understand some of the questions may be sensitive or personal, please be reassured this information will exclusively be used for matching purposes only and will be handled confidentially according to our privacy policy. </p><p>Last Name: Best way to be reached: ☐ ☐ ☐ Postal Code: </p><p>☐ Children, age(s): ☐ Elderly ☐ Person with special needs Details: ☐ Part-time ☐ Full-time(over 30 hours / week) Days: ☐Mon ☐Tue ☐Wed ☐Thu ☐Fri ☐Sat ☐Sun Preferred Start date: Details: ☐ Live-in ☐ Live-Out ☐ No Preference ☐ Personal Support Worker ☐ First Aid training ☐ CPR training ☐ Caregiver training ☐ Driver’s Licence ☐ Swimming ☐ None ☐ Household Chores ☐ Meals ☐ Travel/Vacation with family, please specify: ☐ Pet-care, please specify: ☐ Other duties, please specify: ☐ 6 months ☐ 1 year ☐ 2 years+ ☐ Male ☐ Female ☐ No preference</p><p>If you were referred, who can we thank? </p><p>Thank you for your time, please return completed form by email to: [email protected]. </p><p>Page | 1 version 092014</p>