JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Welcome to Peace of Mind Babysitting
We look forward to you joining our team of exceptional childcare providers! Please take a moment to tell us about yourself.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Sitter Application
Name
*
Last, First
Your answer
Age
*
Your answer
Email Address
*
Your answer
Cell Phone Number
*
Your answer
How do you prefer to be contacted about jobs?
*
Email
Calls
Texts
How much work are you looking for?
*
Full time
Part time
Some evenings & weekends
Only over holiday's/ school breaks
What day's/times are you available?
*
Your answer
Current Job?
*
Your answer
Do you use Google Calendar?
Yes
No
Clear selection
Country of Origin
*
Your answer
Languages Spoken
*
Your answer
Birthday
*
mm/dd/yy
Your answer
Driver's License Number
*
State Issued, Number, Expiration Date
Your answer
I am legally eligible to work in The United States
*
Yes
No
Are you a smoker?
*
Yes
No
Have you ever been convicted of a crime?
*
Yes
No
If Yes, please explain
Your answer
Are you infant & adult CPR/ First Aid Certified?
*
Yes
No
If Yes, date most recent certification was issued
MM
/
DD
/
YYYY
Highest level of education
*
Your answer
Degrees
Your answer
I am willing to perform:
*
Check all that apply
AM child care
PM child care
Get children ready & to school
Help wt homework
Arts & Crafts
Cook Meals for children
Cook meals for family
Laundry
Errands
Light housekeeping
Substancial housekeeping
Personal Assistant
Be outdoors/ active wt children
Stay Overnight
Pet Care
Required
Do you have experience or training with special needs?
*
Yes
No
If Yes, please explain.
Your answer
List all Certification / Special Skills
Teaching, Day Care, Nursing, Tudor, Yoga, Chef, Emergency Response, Ski/ Snowboard Instructor, Lifguard, ETC
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report