Caregiver Form

Disclaimer:

Please be advised that providing misleading or inaccurate information in your application may result in the forfeiture of your application.

By submitting your application, you consent to the verification of the information provided and acknowledge that any discrepancies may lead to disqualification from consideration. Thank you for your understanding and cooperation.

Personal Information
Please enter your first name.
Please enter your last name.
Please enter your address.
Please enter your contact number.
Please enter your date of birth.
Please select your civil status.
Please select your gender.
Please select your height.
Please select your weight.
Please select your blood type.
Please enter your skype id.
If you don't know how to get your skype Id follow this LINK.
Scholastic Records
Please enter Date taken.
Please indicate which Japanese language proficiency test you are taking.
Please select test taken.
Date taken
If you have NC2 for caregiver, please indicate; if none, leave it blank.
Date taken
If you have taken the Prometric test, please indicate; if none, leave it blank.
Please select your highest educational attainment.
Please select your highest educational attainment.
Please enter a school name.
Please select from date.
Please select to date.
Please enter a school name.
Please select from date.
Please select to date.
Please enter a school name.
Please select from date.
Please select to date.
Please enter a school name.
Please select from date.
Please select to date.
Working Records
Please enter a company name.
Please select from date.
Please select to date.
Please select a job.
Please enter a company name.
Please select from date.
Please select to date.
Please select a job.
Family Organization
Be sure to include all family details to avoid any mistakes.
Please select your no of siblings.
Please select your no of children.
Parents
Please select a relation.
Please enter a name.
Please select a job.
Please select your blood type.
Please select a relation.
Please enter a name.
Please select a job.
Please select your blood type.
Partner
Please select a relation.
Please enter a name.
Please select a job.
Please select your blood type.
General Questions
















Please select who will look after your kids.
Please indicate your medical history.
Please indicate reason of choosing Japan.
Please indicate reason of choosing Caregiver.
Please indicate your second choice of country to work.
Please indicate your Second category if not Caregiver.
Please indicate Purpose of Savings.
Please indicate How many years you want to work in Japan.
Please indicate Permanent Residency or only working in Japan.
Please indicate Who encourage you to go to Japan.
Please indicate What is your Strength.
Please indicate What is your Weakness.
Please indicate What is your strong Point/Personality.
Please indicate What is your motto in life.
Please indicate How do you handle stress during work time and personal time.
Please indicate How do you see yourself after 5 years from now.
Please indicate Health condition at present: Are you taking maintenance.
Please indicate Diagnose: anxiety or depression.
Please indicate perations/Surgery: Minor or Major.
Please indicate Health conditions of parents.
Please indicate Did you understand that if there's something happened and either in other matter trainees are not allowed to go home.
Please indicate Did you understand that in the emergency cases (passed ayaw of 1st degree family member is allowe to have a bereavement leave but after agency confirmation.
Please indicate Percent of salary to remit.
Please indicate Health conditions of parents.
Please indicate N4 (KIND AND DATE/YEAR)Example: JLPT N4 (08/19/24).
Please indicate NC2 HOLDER? (Yes or No).
Please indicate Percent of salary to remit.
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