Please fill out the form to submit your family profile. A homecare specialist will contact you within 24 hours.
Please check all that apply. Housework can include cleaning, shopping and food preparation, driving, and/or household administration.
Child careSenior careDisabled/SpecialDocumentationHomecare services
Driving Requirement *
Will the caregiver be required to drive as part of homecare duties?
HomeCare Days /Week *
Please indicate the # of days/week when homecare will be required.
Please indicate the days (if any) when you will need no homecare.
Family Vacations *
Would the caregiver be required to accompany your family on vacation?
Daily Homecare Hours *
Please indicate average or typical # of homecare hours required per day.
Caregiver Wages *
Please indicate the gross HOURLY wages you are willing to pay a caregiver, not including benefits (approximately 10% of salary for the Employer's portion of Unemployment insurance premiums and Canada Pension Plan premiums).
Desired Start Date *
Please indicate approximate date, +/- 1 week if possible.
Home Type *
# Of Bedrooms *
Live-in caregivers must be provided their own room.
Children or Care Recipient
List names, ages and gender of children/care recipients in the home.
If any, please indicate.
Smoking Allowed in the Home? *
Pregnancy Due Date
Lifting / Weight Requirement
If lifting is required for senior or disabled client, please indicate person's weight.
Please indicate any expectations for the caregiver to perform household duties as part of their work. If none, please go to "Your Name"
Bathroom Clean UpBedroom Clean UpHousehold Care of PlantsHousehold Care of PetsGeneral CleaningGrocery ShoppingRun Household ErrandsVacuumingLaundryIroningDustingSetting TableEntertaining
If the caregiver will be responsible for children please go to "Infant Care Requirements" or "Child Care Requirements"
Activities of Daily Living Support
Please check all required duties to be provided by the caregiver.
DressingBathingToiletingCompanionshipMeal PreparationRun Household ErrandsMedication AdministrationAccompany to Activities/Appts
Other Activities of Daily Living Support
Infant Care Requirements
Please check all required duties to be performed by caregiver.
FeedingDressingReadingBathingToy Pick UpChange DiapersPrepare Baby FoodNursery Clean UpWalk Children in Stroller
Other Infant Care Requirements
Child Care Requirements
Bedroom Clean upDressingMealsPlay with ChildrenReadingTake to School/Activities
Other Child Care Requirements
Special Care Required
Please indicate if care recipients require any special care.