Elderly Sitter Elderly Sitter Please Fill this Form Clearly1) Personal photographAccepted file types: jpg, jpeg, png, gif.2) Full Name Full Name 3) Age 4) Phone Number 4) Address Street Address City State / Province / Region 5) Sex Male Female 6) Email 7) National Status 8) Nationality 9) Date MM slash DD slash YYYY 10) Are you currently employed Yes No Educational Data11) Last earned degreesYear PassedUniversity / School / InstituteMajorsCertificates Add Remove12) Previous experiencePatient's CaseDuration of workAddress of the patient (city) Add Remove13) Types of cases you have worked onPatient's Case Add Remove14) Do you suffer from health problems? Yes No Specify 15) The area you prefer to work in Specific area Any area Specify which city 16) Do you have experience in giving oral medications? Yes No 17) Do you have experience in taking vital signs? Yes No 18) Would you like to develop your elderly care skills by taking courses by us? Yes No Do you agree to help in preparing food and wash clothes Yes No Consent I hereby declare that the information mentioned above is accurate and complete. I pledge to abide by the instructions and regulations, to be diligent in my work, and to be mindful of the administration’s reputation and the well-being of the patient. I also commit to maintaining a direct relationship with the owner of the establishment, rather than their family, and to approach the owner in case of any issues. I pledge not to disclose any work-related secrets to the family.CertificationsMax. file size: 256 MB.
