Name
Country	Canada
Province/Territory	-- PROVINCE/TERRITORY OF RESIDENCE --AB - AlbertaBC - British ColumbiaMB - ManitobaNB - New BrunswickNL - Newfoundland and LabradorNS - Nova ScotiaNT - Northwest TerritoriesNU - NunavutON - OntarioPE - Prince Edward IslandQC - QuebecSK - SaskatchewanYT - Yukon Territory
Region	-- REGION OF RESIDENCE ---- ALBERTA --AB ** please choose region **AB - Banff / Canmore AreaAB - Brooks and Medicine Hat AreaAB - Calgary and AreaAB - Drumheller and AreaAB - Edmonton and AreaAB - Fort McMurray and AreaAB - Grande Prairie and AreaAB - Jasper / Hinton / Edson AreaAB - Lethbridge / Blairmore / Waterton AreaAB - Lloydminster / Wainwright and AreaAB - Red Deer and AreaAB - St.Paul / Bonnyville and AreaAB - All of Alberta-- BRITISH COLUMBIA --BC ** please choose region **BC - Cariboo / ChilcotinBC - East KootenaysBC - Kamloops AreaBC - North West British ColumbiaBC - Okanagan AreaBC - Peace AreaBC - Prince George Ominica AreaBC - Vancouver / Surrey / Fraser ValleyBC - Vancouver Island AreaBC - West Kootenay / Boundary AreaBC - All of British Columbia-- MANITOBA --MB ** please choose region **MB - Central ManitobaMB - Eastern ManitobaMB - Interlake RegionMB - Parkland RegionMB - The Pas / Flin Flon RegionMB - Thompson RegionMB - Western ManitobaMB - Winnipeg RegionMB - All of Manitoba-- NEW BRUNSWICK --NB ** please choose region **NB - Bathurst / Peninsula AreaNB - Campbellton AreaNB - Edmundston / Grand Falls AreaNB - Fredericton AreaNB - Miramichi AreaNB - Moncton AreaNB - Saint John AreaNB - All of New Brunswick-- NEWFOUNDLAND AND LABRADOR --NL ** please choose region **NL - Central DistrictNL - Eastern / Avalon DistrictNL - LabradorNL - Western DistrictNL - All of Newfoundland and Labrador-- NOVA SCOTIA --NS ** please choose region **NS - Amherst and AreaNS - Antigonish and AreaNS - Bridgewater and AreaNS - Digby and AreaNS - Halifax Regional MunicipalityNS - Inverness and AreaNS - Kentville and AreaNS - New Glasgow and AreaNS - Port Hawkesbury and AreaNS - Shelburne and AreaNS - Sydney and AreaNS - Truro and AreaNS - Windsor and AreaNS - Yarmouth and AreaNS - All of Nova Scotia-- NORTHWEST TERRITORIES --NT ** please choose region **NT - Fort Simpson and AreaNT - Fort Smith and AreaNT - Hay River and AreaNT - Inuvik and AreaNT - Yellowknife and AreaNT - All of Northwest Territories-- NUNAVUT --NU ** please choose region **NU - Baffin RegionNU - Kitikmeot AreaNU - Kivalliq AreaNU - All of Nunvavut-- ONTARIO --ON ** please choose region **ON - Barrie and AreaON - Brantford and AreaON - Collingwood and AreaON - Cornwall and AreaON - Hamilton and AreaON - Kenora and AreaON - Kingston / Pembroke and AreaON - Kitchener and AreaON - London and AreaON - MuskokaON - Niagara AreaON - North Bay and AreaON - OrilliaON - Oshawa and AreaON - OttawaON - Owen SoundON - PeelON - Peterborough and the KawarthasON - Quinte and AreaON - Sault Ste. Marie and AreaON - Sudbury and AreaON - Thunder Bay and AreaON - Timmins AreaON - TorontoON - Windsor and AreaON - York RegionON - All of Ontario-- PRINCE EDWARD ISLAND --PE ** please choose region **PE - CharlottetownPE - MontaguePE - O'LearyPE - SourisPE - SummersidePE - All of Prince Edward Island-- QUÉBEC --QC ** please choose region **QC - Abitibi-TémiscamingueQC - Bas-Saint-LaurentQC - Centre-du-QuébecQC - Chaudière-AppalachesQC - Côte-NordQC - EstrieQC - Gaspésie / Îles-de-la-MadeleineQC - LanaudièreQC - LaurentidesQC - LavalQC - MauricieQC - MontréalQC - MontérégieQC - Nord-du-QuébecQC - OutaouaisQC - Québec (Capitale-Nationale)QC - Saguenay / Lac-Saint-JeanQC - All of Québec-- SASKATCHEWAN --SK ** please choose region **SK - Estevan AreaSK - La Ronge AreaSK - Melfort AreaSK - Moose Jaw AreaSK - North Battleford AreaSK - Prince Albert AreaSK - Regina AreaSK - Saskatoon AreaSK - Swift Current AreaSK - Weyburn AreaSK - Yorkton AreaSK - All of Saskatchewan-- YUKON TERRITORY --YT ** please choose region **YT - WhitehorseYT - All of Yukon Territory
City
Telehone
Email

Personal Care (please describe)
Required personal care duties:
Bathing Assistance Doctor Appointments Dressing/Grooming Assistance Physical Therapy Assistance	Monitor Medications Mail & Bill Organization Recreational Activities
Please describe any additional duties:

Required duties
meals shopping errands pet care laundry ironing dusting	vacuum (light) vacuum (thorough) bathroom tidy bathroom clean sweep floors wash floors

Extra requirements
Accommodation: live-out What commitment are you looking for? -- Commitment --temporary (under 1 yr)permanent (min 1 yr)	Driver's License: -- Driver's License --yesno Own Car: -- own car --yesno

Language preferences

What languages do you speak? English French Spanish German Japanese Cantonese Mandarin Other Languages:

Conditions of employment
Start date
Work hours
Is Evening Care required?	-- Evening Care --yesno If so, please give details:
Monthly net salary
Comments	Where did you hear about this site? -- Referrer --AdvertisementSchoolWord of mouthInternetOther (please explain)
Picture of your family	(optional)
Registration to access detailed caregiver profiles is free. If you would like to access contact information you can do so by becoming a member of the website. Membership also gives you access to valuable forms and salary and deduction information.

To finalize your OptiMum Registration, please:

1. Make sure that you have read and accept the OptiMum User Agreement. Please acknowledge this below.
   Please note that if you click this link a new window will pop up. To come back here to this form, please close that new window entirely and do NOT try to click on 'Back'.
2. Click the "Register" button at the end of this page.

I have read and accept OptiMums User Agreement