Nanny/Housekeeper Application Form
Please complete the entire form honestly and completely. We will review the information and contact the qualified applicants. Thank you for your interest.
First and Last Name *
Your answer
Gender *
What City do you live in? *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Age *
Your answer
Yrs of Nanny Exp *
Your answer
Ages of Kids in your Nanny Experience *
Required
Number of Kids you were responsible for *
Required
Number of years you were a nanny for the same family *
Required
Do you have experience being a housekeeper? *
Was your nanny experience part time or full time *
Are you ok with a part time position with our family? *
Do you have experience doing additional responsibilities while being a nanny? *
Required
Do you have a clean driving record? *
What is the minimum hourly rate you would accept? *
Why do you choose to be a nanny? *
Your answer
What are you best at in being a nanny? *
Your answer
Are you CPR certified? *
Are you good with a medium sized dog? *
How active are you? *
Not active
Very active
Are you interested in additional babysitting on nights or weekends from time to time? *
How long are you looking to stay in this nanny position with our family? *
Your answer
Do you have any formal early childhood development or childcare training? *
Your answer
If so, where? *
Your answer
Can we run a background check on you? *
Your answer
Have you ever been arrested or convicted? *
If so, for what? *
Your answer
Can you provide us with at least 2 references that you've been a nanny for? *
Your answer
What do you like least about being a nanny? Do you have any special peeves about parents/children/pets? *
Your answer
Do you smoke? *
When would you be able to start working? *
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