Parent Interest Form

Please complete the application below to begin the placement process with the Richmond Nanny Bureau. Prior to completing the application, please review our Expectations + Requirements we have set for all our families.

Full Name *

Email *

Phone *

Street Address *

City *

State *

Zip Code *

Job Position *

Job description *

Please briefly describe what you’re looking for in a nanny.

Are you hiring for a live-in position? * *

Preferred Frequency *
Please select all that apply.

Full-Time Part-Time Temporary

Preferred Schedule *

Please list your preferred weekly schedule for your nanny.

Preferred Start Date *

Predetermined End Date

Please enter the predetermined date the position will end, if applicable.

Hourly Rate *

Please enter the hourly rate you are prepared to pay your nanny.

Time Off *

Please describe the time off and vacation time you're prepared to offer your nanny.

Additional Benefits

Please describe any additional benefits you are prepared to offer your nanny.

Your children *

Please tell us about the children in need of care. Click the +/- button to add or remove children.

Child #1

Child's name

Child's gender

Child's age

Describe your child

Please list full names and email addresses of all other adults living in the household. *

Do you currently employe a housekeeper or cleaner? *

Please list any pets living in the household. *

Do you anticipate your nanny taking your child swimming during their employment? *

Will you need your nanny to transport your children? *

Are you comfortable with your nanny transporting your children? *

Will there be a vehicle provided at your home? *

I confirm that my home is a safe, clean working environment *

I confirm

I confirm that I, nor any member of my household have ever been convicted of a criminal offense. *

I confirm

I confirm I have read, agree to, and affirm I meet all Standards + Expectations set forth by the Richmond Nanny Bureau. *

I confirm

I agree to allow the Richmond Nanny Bureau to share pertinent job information with potential nannies seeking employment, with the understanding that no personal information will be shared until further authorization is given. *

I agree

Have you previously had a nanny? *

Please describe your preferred parenting style,

Optional

Please share any additional information that may be helpful for your nanny to know.

How did you hear about us? *