Caregiver or Companion
Job Vacancy Advertisement
Submission Form


Before you proceed with the registration and data input process for the Job Vacancy Advertisement, you will be required to pay by Credit Card. The advertisement will stay on the site for 60 days, starting with the publishing day.

Click on the Buy Now button to make the credit card payment on our secure server. After the payment, you will receive an e-mail confirming the payment and giving you a password which you have to enter into the form below. When you have received the password, come back to this page and complete the data entry.

Product ID: 1170-41207SW-0

One Job Vacancy Advertisement placed in the pages of senectutis.com for 60 days

 US $ 79.00 Product ID:
1170-41207SW-0

You will be sent an e-mail (or if you have supplied your submission by mail, it will also be sent by mail), giving details of the web address, where your submission was placed, so that you can check it.

Please supply us with the data below, so that we can write the advertisement. Your name and address will not appear on the advertisement, unless you indicate this below. Your advertisement will be identified by a Box Number which will be sent to you in an e-mail! All replies received for your box number will be forwarded to you by e-mail or by mail.

We operate a strict "Privacy Policy" and none of the Data you supplied will ever be used or sold to third Parties, except as necessary for advertising your desire to find an Au Pair position.

Vacancy Information

                 First Name: 
                  Last Name: 
              Title (Mr/Ms): 
             Street Address: 
                       City: 
             Province/State: 
            Postal/Zip Code: 
                    Country: 
                  Telephone: 
               FAX (if any): 
                     E-mail: 
 Order Number(as supplied in the e-mail: 
 Password (as supplied in the e-mail):

Job Information

Select the Type of Employment you are Offering (Companion, Caregiver,Homemaker)

Sex: Male Female

Desired Age Range:

Preferred Nationality:

Preferred level of Education?

Requirement for formal Geriatric Care Training Yes No

Age of Client (Person who uses the service) Client Sex Male Female

The care recipient requires physical assistance for moving around None Intermittent Constant

Does the client use regular medication Yes No

The Companion/Caregiver will be required to administer medication Yes No

 

Some Information about the Place of Work and where you live

Care receiving Client lives in a



Care receiving Client lives 		House
Apartment


in the City
in a suburb
in the countryside		 
The Companion/Caregiver will have their own room but share a bathroom 
                                                            their own room with bathroom
The Companion/Caregiver will   require to have a driving license and drive a car
                            not be required to drive
What is the Mothertongue of the client?    

 

When do you want  the Person to start your work:

   How long do want a person to stay

 

Job Offer Advertisement Registration Submission

Register by pressing the button below once. You will receive a confirmation page.

 

When you "Register", you will receive confirmation of your data input .

Thank You for your submission !

We will not use your registration details for other than our own marketing. No data or details will sold to third parties.

Web Page : http://www.senectutis.com

Mailing Address :

senectutis.com
VAAP SA.
P.O.Box 1123
Gardendale Alabama 35071
USA
Fax : +1 (205) 940 3184
e-mail address: jobs@senectutis.com

 

If you have questions about this website, e-mail webmaster@senectutis.com .
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