Caregiver Nigeria Society
CNSIP

Care Request

Caregiver Nigeria Society — tell us who needs care, and we will find the right caregiver for them.

⚠ Please read first

This form is for care you are planning ahead. It is not for emergencies. If someone is in danger right now — cannot breathe, is bleeding badly, has collapsed or is unconscious — call 112 (the national emergency line, free from any network), call your state emergency number, or take them straight to the nearest hospital.

How many people need care?

This is the only question we need first. It decides what we ask you next.

person / people

One person needs care. We will ask about them.

About you

Tell us who is filling this form, so we know who to reply to.

Who needs care?

Tell us about the person who will receive the care.

Start typing and choose from the list — this helps us reach the right people in your community.
📍 Help us find the exact spot

A caregiver supervisor will visit before care begins. A precise location — and a nearby landmark — helps them arrive without calling for directions. This matters for reaching the right home quickly.

Name something easy to find nearby — a church, mosque, school, market, bus stop or filling station.
Two easy ways to give the exact spot:
• If you are AT the care location now: tap "Use my current location" and allow location access.
• If you are somewhere else: tap "Open Google Maps", find the exact house or landmark, press and hold to drop a pin, tap Share → Copy, then paste the link in the box below.

The people who need care

Fill one line for each person. We check every line as you type.

Dates must look like 09/Apr/1958. For State, LGA, Ward and Community, start typing and pick from the list. See the guide.
S/NFull nameSexDate of birthAgeStateLGAWardCommunity/SettlementLevel of needSpecial notes
Add or remove a line (up to 25)
Thank you. Every line is complete and correct. We appreciate the care you have taken — it helps us send the right person to the right home.

Upload your list

You are registering more than 25 people, so a spreadsheet is easier. There is no limit on how many.

Do not build the file yourself. Download our ready-made template, type your people into it, and upload it back.

⬇ Download the template
Columns: S/N · Full Name · Sex · Date of Birth · State · LGA · Ward · Community/Settlement · Level of Need · Special Notes

Choose your completed file (.xlsx or .csv). We check it before anything is sent.

Thank you. Your file is complete and correct. We are grateful for the care you took preparing it.

What kind of care is needed?

Tap a heading to open it, then tick everything that is needed.

How much help is needed?

Choose the answer closest to a normal day. There is no shame in any answer — we ask only so we send someone with the right skills.

A little more about the care

Please read — not everyone needs a live-in caregiver.
A Personal Care Aide is a trained, checked caregiver. They help with bathing, dressing, moving about, medicines and health — the care of a person.

A house-help (also called a Domestic Housekeeping Assistant) cleans, cooks and runs errands — the care of a home. They are not trained caregivers, and CNS does not supply them for personal care.

Many families ask for a live-in helper when what they truly need is a few hours of skilled care each day — which is often safer and costs less. If you are unsure, choose "I am not sure — please advise me" and a real person will help you decide.

Budget

We only ask for a range, not an exact figure.

Preview this application at a glance

Please look through everything below. If something is wrong, go back and change it.

Your permission

Kindly give us permission. Your consent is required before we use anyone's personal details.

This box ticks itself once you have read the Terms and clicked Agreed.

Request Application Fee

This fee is non-refundable. It pays for the upkeep of this platform and for the time of a real person who reads and assesses your request — we never leave that to a machine.

Request Application Fee — ₦1,000 per care request
₦1,000
for 1 care request
💳 Pay now Card, bank transfer, USSD or QR — whichever suits you. Secured by Paystack. Your review starts immediately.
Thank you for your care and patience. Taking time over these details is what allows us to send the right person to the right home.

✓ We have your request

Thank you. Your request is safely with us.

Every request is read by a real person. Our team will respond within 3 to 10 working days — and we are always working to make that faster.

You do not have to wait if you need us. Call or WhatsApp +234 703 686 9707, or email hello@caregiverng.com.

For any emergency, call 112 or go to the nearest hospital.

Caregiver Nigeria Society · CNSIP
Need help filling this form? A real person will help you.
📞 +234 703 686 9707 (call or WhatsApp)  ·  ✉ hello@caregiverng.com
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