Job Request Child Care

Full Name(Required)

First Last

WhatsApp Number(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nationality(Required)

Type of Residence(Required)

Private Home

Villa

Apartment

Number of Child(ren)(Required)

Child Name(s) & Age(s) of Child(ren)(Required)

Does the child have any allergies?(Required)

Yes

please specify the type of allergy(Required)

food, medicine, environment, others

Special Notes(Required)

Newborn / Toddler / School-age / Special Needs

Position Title(Required)

Babysitter Live-in

Babysitter Live-out

Nanny Live-in

Nanny Live-out

Live-in Facility(Required)

Private Room

Shared Room

Not Applicable

Working Schedule:(Required)

Full-time

Part-time

Shift

Working Hours(Required)

Start Date(Required)

DD slash MM slash YYYY

Contract Duration(Required)

Main Responsibilities(Required)

Child supervision & safety

Feeding & meal preparation for child

Bathing & hygiene assistance

Nap & sleep routine

Playtime & stimulation activities

School preparation / pick-up assistance

Light child-related housekeeping

Child laundry & organizing toys

Other Responsibilities

Candidate Preference Level(Required)

Standard – Basic child care experience, suitable for routine daily support.

Experienced – Higher level experience, more independent and confident.

Signature – Expert-level child care professional with certification and advanced experience.

Number of Adults in the House(Required)

Pets at Home(Required)

Yes

CCTV in Use(Required)

Yes

Monthly Salary Range(Required)

Weekly Day Off(Required)

Overtime Policy(Required)

Additional Benefits(Required)

Important Notes(Required)

Please describe expectations, routines, discipline approach, screen time rules, health considerations, and household boundaries

Agreement & Confirmation(Required)

By submitting this form, I confirm that all information provided is accurate and agree to ValivingBali’s policies, procedures, and Commitment Agreement.

Signature(Required)