Elderly Employer Application


Elderly Employer Application Yes No

 

Are you looking for?  Live-in         Live-out          Part-time          Full-time

Long term temp placement (2-6 months)

Short term temporary placement (less than 2 months)

Please provide the following contact information:

Name (First,Last)
Street Address       
Suite/Apt #            
City, Province        
Zip/Postal Code     
Home Phone            
Cell Phone
Age     
Health Condition      
Occupation            
Email (required):  

What is the caregiver preference?

Preference of Nationality?                                                           
Looking for Overseas Caregiver already in Canada?                    
Looking for Overseas Caregiver coming from overseas (Live-in)?
Looking for a local caregiver?                                                     

What are the duties of the caregiver  (Please check all that apply)                                                                      

  Driving                         meals preparation   walks            light housekeeping

  heavy housekeeping      laundry                     groceries        ironing         

  caring for handicapped  traveling    pet care     

                                                           

What are the working conditions?

How many members of the family?
Do you have any pets?              
private bedroom plus private bathroom? (live-in)
Starting date
Finish date
Duration of Contract
Salary Offer 
Including taxes  yes         no
Total weekly hours of work
Working time schedule
Days Off

Please give us a brief description of your life style, what do you expect from your nanny and any 

additional duties you require (age, preference, non smoker etc...)

How did you hear about our agency?

Terms & Conditions

1. These Terms and conditions shall represent a legally binding contract between HAPPY KIDZ CAREGIVERS and the client or employer.
2. The verbal or written instruction of the Agency to the Client, to submit suitable applicants for contact or interview, shall constitute acceptance of the Agency's Terms and Conditions and acceptance of all agency fees according to current prices listed on our website (www.happykidz.ca).
3. All correspondence and records shall be confidential and remain the property of the Agency. Information supplied by the Agency is confidential and is accepted by the Client on the condition that such information will not be disclosed to any third party.
4. Should a Client affect any form of introduction, direct or indirect, of an applicant to a third party, or pass on any details resulting in permanent, temporary, occasional or part-time employment, the client will be responsible for the full placement/agency fee. 
5. The Agency endeavours to provide the Client with applicants as well suited, as possible, and will furnish the Client with all relevant information concerning the applicant and to check details, documentation and references. However, the final responsibility for any decision to employ the Applicant rests with the Client, who is therefore strongly advised to check details, documentation and references personally. The Agency does not offer any warranty as to the suitability, honesty, character or capability of any Applicant. 
6. The Agency accepts no liability of any kind for any kind for any inconvenience, loss or damage of property, or any loss or injury howsoever arising directly or indirectly from any act or omission of any applicant introduced by the Agency even if such an act or omission is negligent or fraudulent or reveals dishonesty. 
7. The Client agrees to notify the Agency immediately an engagement has been accepted by an applicant and to supply details to the Agency of the date of commencement and length of employment and agreed wages. 
8. Should a short-term engagement be extended by the Client, or by any applicant be re-arranged at any future time, the appropriate additional fee shall become payable. The Agency must be notified immediately of any such changes. 
9. Should any applicant recruited as an evening babysitter be employed for daytime work, the agency must be notified immediately and additional fees should become payable. 
10. Fees are due on the acceptance of the offered position by an applicant, either verbally or in writing, and not at the commencement of employment. The client will be responsible to pay the agency's full placement fee at the rates shown in the current scale of charges on www.happykidz.ca website within 5 business days from acceptance. 
11. The agency will endeavour to find a replacement within 2 months of the earlier of, start of employment by caregiver or start of orientation. However, if during this period, clients make their own arrangements, or cancel their request for a replacement, no refund will be given, only one free replacement is offered. If clients cancels employment after the contract has been signed and/or  before commencement of nanny starting to work or start of orientation a $250 administration fee will be charged to the clients and paid to Happy Kidz within 5 business days.
12. No replacements will apply if the client has been in breach of any of the agency's terms and conditions. 
13. The agency does not employ applicants introduced and any contracts of employment entered into between the client and the applicant are between those persons directly. The client is responsible for complying with all employment, fiscal and other relevant legislation. Our replacement guarantee does not apply in respect of any employment terminated by the applicant as a result of failure by the client to comply with all relevant legislation. 
14. The agency cannot guarantee that an applicant will complete his or her proposed length of stay or engagement. 
15. By accepting this agreement, I agree to indemnify and hold harmless Happy Kidz Caregivers and its agents and employees from any and all action, causes and/or demands of whatever nature or type wherever situated, arising directly or indirectly from the use of any individual referred by Happy Kidz Caregivers and hired by me. Babysitter/Nanny/Applicant is not at any time an employee of Happy Kidz Caregivers and is only a referral. Happy Kidz Caregivers is not responsible for the actions of Babysitter/Nanny/Applicant at any time. Babysitter/Nanny/Applicant IS Client's employee from time of VERBAL acceptance of the referral.

This agreement is binding under and subject to the laws of the Province of British Columbia, and is understood and accepted by the undersigned party.

I HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND AND AGREE TO THIS CONTRACT IN ITS ENTIRETY. THIS AGREEMENT IS BINDING AND SUBJECT TO THE LAWS OF THE PROVINCE OF BRITISH COLUMBIA, AND IS UNDERSTOOD AND ACCEPTED BY THE UNDERSIGNED PARTY. ANY LEGAL FEES AND COURT COSTS INCLUDING REASONABLE ATTORNEY'S FEES INCURRED IN COLLECTING ANY MONIES DUE TO HAPPY KIDZ CAREGIVERS AT ANY TIME WILL BE THE SOLE RESPONSIBILITY OF THE CLIENT.
SHOULD ANY TERMS BE BREACHED IN THIS AGREEMENT (IE. PLACEMENT IS OFFERED WITHOUT THE CONSENT OF THE AGENCY) BY THE CLIENT.  FULL AGENCY FEES + $500 BREACH OF CONTRACT FEE WILL BE CHARGED ON TOP OF ALL COLLECTION AND COURT RELATED FEES.

By submitting this application all Terms and Conditions are accepted in full

Date
Signature

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Happy Kidz Caregivers.
Revised: September 07, 2008