Initial Family Application
Take the first step to receive free babysitting sessions from Sitters Without Borders! Please fill out the application completely and thoroughly for consideration. Your application and interview will significantly affect your enrollment.

Information collected are used for (1) contact during group sitting session, (2) our record-keeping, (3) our organizational impact analysis and (4) externally ONLY IN AGGREGATE, without revealing any personal information; primarily used for grant-seeking purposes. Your personal information is protected and all information obtained will be kept confidential and may only be used in accordance with the provisions of applicable federal laws, executive orders, and regulations. Only information necessary for the sitting session will be shared with sitters such as names, contact numbers and information on the children attending the sitting session.

If you have questions or concerns about the application, or would like general information about SWOB, please contact our Family Coordinator at

Thank you for applying!

Full Name *
Your answer
Phone Number *
Your answer
E-mail *
Your answer
Home Address *
This is your personal residence, where your sitter will babysit your child.
Your answer
Number of children under 10 years old living in your home *
Marital Status *
Gender *
Race and ethnic background *
Based on classification by the U.S. Office of Management and Budget (OMB) - American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment. Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent. Black or African American: A person having origins in any of the black racial groups of Africa. Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. The term, "Spanish origin", can be used in addition to "Hispanic or Latino".
Total household income *
This includes child support and government assistance. If you are not sure, we can help you with this option after the initial application is filled out!
Date of Birth *
Age Group *
Education: What is the highest degree or level of school you have completed? *
Employment Status *
Number of family members living in your home *
This includes grandparents, spouses, aunts, uncles, cousins, etc.
Are you currently taking at least one undergraduate course at a college/university or a certification program? *
Please describe the choice of "other"
How often do you think you will need a 4-hour babysitting session? *
This is an estimate and can change! We use this information to gauge your need and to inform your match with a sitter.
What is your current educational situation? *
What degree level or classes have you competed already, and where? With which major or concentration? What is your current enrollment; how many classes, which college/university? Are you enrolled FT/PT, day or evening?
Your answer
What is your current work situation? *
Do you currently work? If so, what is your position/title, and how many hours do you work on average per week?
Your answer
What is your current childcare situation? *
Please describe how you currently get childcare; do you pay for professional childcare/daycare? Do you get childcare from family or friends?
Your answer
Please describe all household members who live in your home *
This includes children, partners, roommates, extended family, guests, ex-partners, etc.
Your answer
Please describe your housing situation *
Are you living in an apartment, subsidized housing, a condo/house? Do you rent or own?
Your answer
What is your educational/career goal for the next 1-3 years? *
Please describe your goals and interests in detail. Include any classes you hope to take, degrees you hope to attain, employment you would like to gain, etc.
Your answer
For what do you plan to use your free weekly 4 hours of childcare? *
Please describe the days of week and times when you have classes for which you would like childcare services.
Your answer
How will you be affected if you don't receive free childcare from Sitters Without Borders? *
Please briefly share about why you are interested in SWOB services, and how you will or will not be able to get childcare if not through SWOB services
Your answer
How did you hear about us? *
Please explain the specific way you found out about SWOB. If you were referred by a person, include their full name and how you know this person.
Your answer
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