Registration – CareMate

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Become a Caremate

CareMate Caregiver Service Provider Registration Form

Thank you for your interest in joining CareMate. Please fill out the form below with accurate information. Your responses will help us evaluate your suitability to become a part of our caregiving team.

Personal Information

Full Name:

Date of Birth:

Gender:

Male Female Ohter

National ID NUmber / Passport Number

Contact Number:

Email Address:

Address (Street, City, Postal Code):

Emergency Contact Information

Full Name:

Relationship to You:

Contact Number:

Email Address (if any):

Educational Background

Highest Level of Education Completed:

Field of Study (if applicable):

Professional Background

Are you currently employed?

Yes No

Previous Experience in Caregiving:

Yes No

If yes, please provide details about your previous caregiving experience:

Certifications and Training

Do you have any certifications in healthcare, caregiving, or first aid?

Yes (please specify below) No

Please list any relevant certifications or training programs you have completed:

Skills and Abilities

Please indicate your skills (check all that apply):

Companionship care Personal care (bathing, dressing, grooming) Mobility assistance Healthcare transportation FemCare services (if female, specify relevant experience) Specialized care (Alzheimer's, Parkinson's, etc.) Basic housekeeping Medication reminders

Availability

Preferred Work Schedule:

Availability (Days and Hours):

Background Check Authorization

I authorize CareMate to conduct a background check as part of the hiring process.

Signature:

Date:

Additional Information

Why do you want to work with CareMate as a caregiver?

Any other relevant information you would like us to know?

A trusted Care Companion & Outdoor assistance Service Provider, authorized in Bangladesh.

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Contact Info

Dhaka, Bangladesh
+880 1610-296460
Everyday 9am-6pm