Sunrise Placement Services

Employer Applicants

Please sign up with Sunrise Placement Services to find the right candidates.

Employer's Full Name

Home Address:

Phone Number (Home):

Phone Number (Work):

Email Address:

Occupation:

Spouse's Name:

Spouse's Occupation:

Number and Ages
of Children:

Are you seeking a live-in
or live-out caregiver?

Live-in
Live-out

What type of services
do you need?

Please indicate the hours and days when service is required below

When do you need the
caregiver to start working?

(MM-DD-YYYY)

What specific duties
will be assigned?

Meal preparation
Cleaning
Laundry
Ironing
Pet care
Others

If you have other duties,
please specify:

Do you require driving?

Yes No

If you require driving,
will you provide a vehicle
for the caregiver to use?

Yes No

Do you have
household pets?

Yes No

What qualities in a caregiver are most important to you?

Can you provide the caregiver with her own private bedroom?

Yes No

Can you provide the caregiver with her own private bathroom?

Yes No

Please add any information about any needs your family might have to assist the agency in the placement process:

You can mail your application to:

Sunrise Placement Services
53 Caruso Drive
Brampton, Ontario
Canada L6Y 5B2

or Fax it to: 905-455-3485