USA Girls Application Form
Name
Address
 (Inc. State)
Telephone
Email
Date of birth
Age now
Gender
Are you a U.S. Citizen?
When is the earliest you can start?
How long can you stay?
What is your present job?
What experience do you have with children?
What experience do you have with housework?
Are you prepared to work with a single parent?
Can you work with handicapped children?
Do you have any health problems?
Do you smoke?
Are you a vegetarian?
Do you drive?
Do you like pets?
Will you work in any ethnic family?
Have you been convicted of any criminal offence?
Tell us about your family.
Tell us about your church
How often do you attend?
When did you become a Christian?
What are your hobbies and interests?
Have you taken any courses in childcare or health?
What is your main reason for becoming a Mothers helper?
Upload a photo of yourself, if possible.
Just press the submit button. We will contact you shortly.
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What do you want to be?