Candidate 2nd Application

First name *

Please provide your first name.

Last name *

Please provide your last name.

Email *

Please provide your email address.

Phone *

Please provide your phone number.

Street address *

City *

State *

Zip / Postal Code *

Job position *

Which position are you applying for?

How did you hear about us? *

Pronouns *

Languages Spoken *

How long have you lived at your address? *

Are you a local candidate? If not, when are you planning to move to the area? *

If the position you are applying to doesn't state "nationwide search," we are only seeking local candidates.

State DL Issued? *

When are you available for an interview? *

What times work best for you to interview? *

This position requires full days of hands-on childcare, including active play, household support, and reliable punctuality. Are you able to meet these requirements with or without reasonable accommodation? *

Are there any circumstances that would prevent you from maintaining consistent attendance and punctuality? *

Please explain *

Do you have any medical conditions or disabilities that may affect your ability to safely perform the essential duties of a childcare provider, with or without reasonable accommodation? *

Emergency Contact (Name, Phone, and Email.) *

Personal Bio *

Tell us who you are. Share your highlights as a caregiver, skills, qualities, interests, why you love working with children.

Please provide a cover letter/description of how your skills apply to the position you're applying for. *

For example, If you are applying for a Family Assistant position, share your relevant experience.

What is your childcare philosophy? *

Do you have experience working with special needs children? *

Please explain.

Share some of the activities you like to do with children. *

How many years have you been a nanny? *

How many years have you been a family assistant? *

How many years have you been a household manager? *

How many years have you been a newborn care specialist? (certified) *

How many years of professional newborn experience do you have? *

How many years of professional infant-care experience do you have? (3 months - 12 months old) *

How many years of toddler-care experience do you have? *

How many years of professional school-aged children care do you have? *

Live-in Live-out Part-time Full-time Temporary Permanent

How long would you like to stay in your next position? *

Are you willing to work temporary/short-term positions with our agency? *

Preferred Schedule

Please tell us your preferred week schedule.

How far are you willing to commute to a position? *

Have you received the Covid-19 vaccine? *

Do you have any current commitments which may affect your attendance or ability to do a job? *

How many hours are you willing to work weekly? *

Are you flexible on days and hours? *

Highest level of education? *

Desired hourly rate? *

Provide a range (From - To)

When are you able to start a position? *

Are you currently employed? *

Will your most recent employer serve as a reference? *

If you are currently employed, why are you leaving your position?

Are you willing to work nights and weekends? *

Please explain

Are you willing to travel with a family? *

Do you have a valid United States Passport? *

Are you willing to work holidays? *

How many children are you comfortable working with? *

Would you care for multiples? *

Are you willing to work in a home where parent(s) work in the home? *

Are you willing to work in a home where one parent is a 'stay at home parent?" *

Do you have children? *

If you have children, will they need to come to work with you?