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EMPLOYMENT APPLICATION
PERSONAL INFORMATION
List Job Applicant's Name: SIKA F.
List Home Address: Lanham, Maryland 20706
List Home Phone #: Withholding for now
List E-mail Address: N/A
GENERAL INFORMATION
Are you 18 years or older? Yes (Early 30s)
If employed, could you submit proof of your legal right to work in U.S. to your employer (Exp. a Resident Card, Work Permit or Student Visa)? Yes - A Permanent Resident holder
Do you have at least two years of recent experience as a nanny or domestic worker? No - She has 1 year expensive working with children at La petite Douse Day Care facility
Do you speak English? Yes
Do you speak a fluent language other than English and if so, please list language(s)? French
Do you have a driver's license and do you have your own vehicle? Yes to both questions
If applicable, list the state you have your driver's license and the expiration date: Maryland
List driving violations and dates if applicable: None
Do you wish to drive child/ren or adult in your vehicle while they are in your care? Yes, but will need additional pay on top of reg. weekly salary for gas expense
If yes, do you have adequate vehicle insurance? Yes
Do you prefer your employer provide you with a vehicle for job-related duties? Maybe
Are you CPR certified for infants/children or adults and if so give us the certification exp. date? Non certified but am willing to get certified if employer pays all costs for this purpose
Are you a smoker or a non smoker? Non smoker
If applicable, please let us know how many children you will care for and their ages? 1 up to 3 children, infant or toddler (Sika has 3 children of her own, ages 19 months, 6 & 9 years) or school age (professional experience), from 5 to 12 years (or older is fine also)
Do you need to bring your child to work with you and if so, please list your child's age? No - Has child care provisions in place
For elder care or companion care candidates, please briefly describe what you are looking for. N/A
DESIRED EMPLOYMENT
List the type (Nanny, nanny/housekeeper, housekeeper, day worker, elder care, companion care or other) of employment needed and let us know if you are available for full-time, part-time, live-in or out, short or long-term or a Summer position
Nanny or Babysitter, part-time, live-out and long-term employment
EMPLOYMENT AVAILABILITY/RELOCATION INFO
If hired, when can you start work? Any day (Need to work asap)
List the days/hours you are available for work: Monday through Friday (possibly Saturday if needed) Starting at 8:00/9:00 a.m. up to 5:00/6:00 p.m. (or later if needed) - Open to two jobs both being part-time at a minimum of 20 hours/week
List locations you are willing to consider for work: Maryland areas including Greenbelt, Laurel or any location within 20 minutes from the Lanham area
Can you work overtime, if needed? Maybe - will discuss at interview
Do you want to relocate for work in the U. S. and if so, list locations you will consider for employment? No
If applicable, are you willing to pay travel, lodging & food expenses as part of your relocating costs? N/A
DESIRED SALARY & EMPLOYEE BENEFITS
List salary expectations for hourly work schedule: Nanny or Babysitter - $13 up to $15/hour for 1 up to 3 children - Will need a minimum of 20 hours/week for part-time child care
List duties you will perform: Will provide child care or supervision for children and perform all duties pertaining to their requirements. Also, willing to share French with child/ren through songs & games.
List desired benefit's package: If offered, paid federal holidays, one week's paid annual vacation
If applicable, list live-in accommodations you will consider: N/A
EDUCATIONAL BACKGROUND INFORMATION
Did you graduate from high school in the U.S.? No
If you went to school in a country other than the U.S., indicate country: Benin, West-Africa
Did you graduate from college: Yes
List the year you graduated:
--2010 (Master Certificate Medical Billing and Coding, American Career Institute, Columbia MD)
2006 (Master Degree of Business Law University of Abomey-Calavi BENIN - West-Africa)
--2005 (Bachelor Degree of Business Law University of Abomey-Calavi BENIN - West-Africa)
--2002 (Associate Degree in Banking and Finance, University Polytechnical International of BENIN - West-Africa)
Are you currently a student? Yes - Taking online classes w/flexible hours - Working towards BA in Business Admin. Health Service Management (Graduate date expectancy in 2012)
Please list a person's contact name and phone number in case of an emergency: Name/Phone #: Withholding for now
Have you ever been convicted of a felony? No
WORK REFERENCES
Applicant Name: SIKA F.
Employer Name: La Petite Douee Daycare, Owner name: Mr. Marcen Q.
Telephone:
Location of Job Site: Alexandria, VA
Dates Worked - March 2009 to Feb. 2010
Job Title: Teacher Assistant
Duties: Responsible for tending to a group of 12 children, ages 5 to 12 years of age
--Cerficate obtained during this time: Sudden Infant Death Syndrome (SID)
--Cerficate obtained during this time: Shaken Baby Syndrome (SBS)
Reason for leaving: Continued schooling - Sika left on good terms with this employer
Employer Comments: Talked to: Pending as of May 9, 2011
INTERNSHIPS LINKED TO TRAINING IN SIKA's ABOVE COURSEWORK FOR THE PAST 8 MONTHS:
--Online Internews Network, Washington DC, Africa Program Unit, Intern - Office records
--Capital Hospice, Washington DC, Patient Records Intern - Office records
--Equinox Healthcare, Home infusion care provider, Billing department Intern - Office Records
--DC Access Language Coalition, Outreach, Volunteer including being a French interpreter - Dec 2010 to current
If you would like to meet with Sika F. in a job interview then contact our company to check to see if she is still available for employment. If she is available then we ask that you SIGN UP with our service by using our online Family Application. See below for this link. Thank you - We look forward to hearing from you!
CONTACT INFORMATION
FAMILIES HELP LINE
Office Telephone: 301-868-4420 (It is best to call between 9:00 a.m. and 5:00 p.m., EST, Monday through Friday.)
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