Family Application

First Parent Contact

Parent One Full name *

Please provide your full name.

Email *

Please provide your email address.

Phone *

Please provide your phone number.

Street address *

City *

State *

Zip / Postal Code *

Best time to contact

2nd Parent Contact

Secondary name

Please provide your full name.

Secondary email

Please provide your email address.

Secondary phone

Please provide your phone number.

Point of contact *

Who is the point of contact? *

What neighborhood do you live in? *

Occupation(s) *

Job Details

Job Position *

Please verify what service you are wanting to hire for

Job description *

Tell us about what you're looking for.

How soon do you need childcare?

Your children

Please tell us about your children.

Child #1

Child's name

Child's gender

Child's age

Describe your child

Ideal Start date *

How long will this position last? *

What is your childcare budget?

What is your budget?

Do you require your nanny to be bilingual? *

If you require your employee to be bilingual, what language(s) do you prefer them to speak? *

Language(s) spoken at home *

Choose a placement package *

When are you available to schedule a call to launch your search? (Add dates and times) *

Add dates and times

How confident are you about launching your nanny search? *

If you're less than an 8 in confidence, please let us know how we can best support you.

Are you a first-time parent? *

Does either parent work from home?

Are there any pets? *

In detail, please introduce us to your family. *

What is your family's childcare philosophy? What are some unspoken rules your household lives by? *

Please describe your child's interests, daily schedule, and personality. If your child isn't born yet, share what activities you'd like your child to enjoy. *

N/A if non-childcare related.

Does anyone have any health concerns or allergies? *

Are there any religious or cultural beliefs your nanny should be aware of? *

For example, not celebrating Christmas.

Provide us with your ideal nanny candidate *

- their personality, likes, childcare philosophy, etc? If you have employed a nanny before, share what qualities you enjoyed.

Does your child have any special needs?

If so, please explain.

What personality type works best with your family? *

Please describe your child's typical eating habits and preferences. *

Have you ever hired a nanny before? *

If so, please share why the relationship ended.

If you have previously hired a nanny/babysitter/Newborn Care Specialist before, please list their full name and phone number so we can contact them for a Family Reference. *

What are your non-negotiables in hiring a candidate? Qualities they must have? *

What are your housekeeping expectations? *

Will your candidate be required to prepare meals? *

If so, please detail your expectations.

High School Diploma Undergrad Degree Post-Graduate Degree PHD Childcare-Related Certifications

How many years of experience would you like your candidate to have? *

Which Child-Rearing philosophies do you prefer?

Will your candidate need newborn care experience? *

Would you prefer your candidate to have an Early Childhood Education/Development background? *

If you are seeking a live-in nanny, please describe their living accommodations. *

Ideal weekly schedule.

(List what days + hours your candidate would work each week - a minimum of 30 hours of care weekly)

Are weekends required? *

If yes, how often?

Will your employee need to have a passport for travel? *

Is driving required? *

Will nanny have access to family car?

Please share your comfortability with allowing the candidate to take your child on outings.

would you like to conduct a nationwide or local search? *

If conducting a nationwide search, are you willing to offer a relocation package?

Will you contribute to your candidate's Medical Insurance? *

Full Insurance coverage (100% of deductible) or Partial coverage (50% of deductible) *

How many weeks of Paid Vacation? (Two weeks are standard) *

How many sick days are you willing to offer? (5 days/40 hours is standard for FT care) *

Is your home staffed? (Housekeeper, nanny, household manager, chef, driver) *

Have you worked with a nanny agency before? *

Are you working with another nanny agency? *

Please detail what additional methods you're using to find the right nanny for your family. (nanny agencies, facebook groups, childcare apps/websites, personal referrals, etc) *

Please upload a photo of your family.

(This is for our usage and will not be posted.)