Premier Nanny Network Parent Intake Form
Please fill out the following form to share about your expectations and requirements before moving forward. It should only take a few minutes.
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Parent Names *
Parent Emails *
Parent Phone Numbers *
Home Address: Street, City/State, Zip *
How did you hear about Premier Nanny Network? *
Schedule Requirements  *
What schedule will best fit your needs? Please give details below. (ex: Monday-Friday 8am-5pm; Mondays/Thursdays/Fridays 6am-2pm, etc.)  *
The schedule will need to be solidified prior to any searches for candidates.  *
If one household- are both parents in alignment regarding the scope of care they are looking for? (full-time, part-time) *
If two households- will nanny be expected to navigate between both or work for one parent only. Please note details and expectations. 
Type of Care *
How many children do you need care for? *
Length of placement? Please note, PNN specializes in long-term placements only which are minimum 1 year. *
Do any of your children require special care? *
Required
If yes to special care, please provide details.
Do any of your children have allergies to food or medicine? *
If yes to allergies to food or medicine, please provide details.
Does your family have a preference for a Nanny or a Manny (male nanny)  *
Will Caregiver need to drive children? *
If yes to driving and you expect caregiver to drive their own vehicle, are you aware of providing gas compensation?
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Household duties expected *
Required
Experience level  *
Required
Aside from CPR certification, is there another level of certification you expect to qualify for this position? (nursing degree, early childhood education degree, first-aid/ EMT, educational background, special needs background, etc.) *
Work from home *
Pets *
Pet Care Requirements: please share what kind of pets and what kind of care they need if applicable.
Do you travel often *
Expected pay range *
PTO, health insurance, other: please describe what benefits you are offering for this position *
Premier Nanny Network does not offer payroll services at this time. You will be responsible for setting up an account for payroll and we highly recommend Poppins Payroll. This will supply W2 taxes and connect state benefits to your nanny.  *
Have you worked with an agency before? If yes, which company? What feedback can you provide? *
Have you worked with a nanny before? If yes, tell us about your experience. What did you like? Not like? *
Discipline: have you discussed and thought about how you will ask the caregiver to handle discipline? Please provide details.  *
Any specific challenges or expectations you have for the nanny? *
Anything additional we should know about your family? *
When are you looking for placement? *
Emergency Contact: please provide phone number, address, and email. 
Please provide at least two contacts at this time. 
 *
Do you consent to background checks? *
Is there anything else you think PNN should know before starting the process of finding your candidate? *
Are you able to offer references for the caregiver? (This is not usually required, but some high level professional nannies do inquire with references before accepting positions). *
Do you consent to Premier Nanny Network sharing these details with candidates during the process to ensure the best match? *
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