New Family Application
We are excited to assist your family with securing care!
This application will assist us in vetting appropriate candidates for your position.
Email address *
First and Last Name *
Your answer
Email Address *
Your answer
Physical Address (address, city, state, and zip code) *
Your answer
Phone Number *
Your answer
We are looking for *
This position is *
This position is *
Estimated Start Date *
MM
/
DD
/
YYYY
How did you hear about E-Nanny *
Your answer
Children's Info (Name, Age, Gender) *
Your answer
Are you expecting any more children within the year? *
If any of your children have special, atypical or alternative needs, please describe.
Your answer
Please describe your home dynamic *
Required
Please describe your parenting model *
Required
My children do not enjoy
Your answer
Daily Schedule/Routine *
Eating Habits *
Eating Restrictions *
Are there any allergies (environmental or food)? If yes, please describe. *
Your answer
Discipline *
Please describe your discipline style/philosophy *
Your answer
Please list any household pets (specify indoor/outdoor, breeds, and approximate weight)
Your answer
Electronic Restrictions *
Access to electronic media during the nanny's shift
Required
Please detail any other information we should know about your family
Your answer
Nanny Work Schedule (please detail days and start and end times) *
Your answer
Any additional scheduling information
Your answer
Will the nanny need to transport your child(ren)? *
Required
If yes, what will the nanny use to transport the children? *
Hourly Rate *
Required
What responsibilities will the nanny have? *
Your answer
What qualities are you looking for in a nanny? *
Required
Years of experience preferred *
Required
Are you comfortable with a nanny bringing her own child to work with her? *
What benefits and accommodations will you provide your nanny? *
Required
Have you ever employed a nanny before? *
If yes, please tell us what you liked and disliked about your previous nanny.
Your answer
For what reason is the nanny no longer employed with your family?
Your answer
What are the best days/times to contact you? *
Your answer
I prefer to be contacted by *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of E-Nanny LLC. Report Abuse