Nanny Application

Legal First name *

Please provide your first name.

Legal Last name *

Please provide your last name.

List any other names you go by:

Email Address *

Please provide your email address.

Phone Number *

Please provide your phone number.

Are you 21 years old or older? *

Have you worked with an agency before? If so, which one(s)? * *

How did you hear about us? *

What is your birthday? (Day/Month) *

Emergency Contact - Name, Phone Number and Relationship to You *

How many years of experience do you have as a professional caregiver? *

PLEASE NOTE: This includes long term nanny positions, daycare, teaching, tutoring, etc. This DOES NOT include caring for family members.

Are you interested in one of our current job listings? If so, please specify which one.

Position you're applying for *

Which position are you applying for?

Ideal Work Schedule *

Please tell us your ideal weekly schedule.

What are the hours you can work per week? *

e.g. 40 hours

What date are you available to start employment? *

How long are you willing to commit? *

What is your salary requirement? *

Please enter your hourly rate

Nanny Profile - Personal Introduction *

Introduce yourself briefly in this space. Your introduction will only be shared with potential clients for jobs you're interested in.Remember, this is your opportunity to stand out to families that match your desired job criteria

Please list the languages you are fluent in: *

High School Graduate Associate’s Degree Bachelor’s Degree Master’s Degree CPR & First Aid Certificate CNA Certificate

Additional Training/Certifications

Please list any specialized training or certifications not mentioned above that are relevant to childcare or education (e.g., Montessori training, Special Education certification, etc.).

Do you have a valid/clean driver's license? *

Do you own a vehicle? If yes, are you agreeable to utilizing it for job-related tasks, including transporting children to activities or completing errands, with appropriate compensation? *

If applying for a live-out position, how far will you commute?

Are you able to travel with families? *

If you're applying for live-in position, do you require to be able to stay on the weekends?

Can you describe your personality? *

When not working, what do you like to do? *

Describe hobbies and interests

Job History *

Add your work history below. Click + to add more entries.

Job #1

Employer Name

Your Position

Start Date

End Date

Employer Phone

Employer Email

City

State

Ages of children upon hire

Job Description

Do we have permission to contact your references? *

NOTE: We can wait to call them after your interview with us. Additionally, please let us know if there are any references we should not contact at this time.

Professional References *

Add your work references below. Click + TO ADD MORE ENTRIES. Please add only reference related to work. Family and friends will not be accepted.

Reference #1

Reference full name

Reference phone

Reference email

Years known

Under what circumstances do you know this individual?

If available, kindly upload a photo of your Driver's License.

Note: this is not required. You can wait until the interview to show us your valid Driver's License.

Very Easy, Clear, and Satisfied Easy, Mostly Clear, and Somewhat Satisfied Neutral Somewhat Difficult or Unclear, and Dissatisfied Very Difficult, Unclear, and Very Dissatisfied

Your Comments and Suggestions:

If you have any additional comments or suggestions for improving our application process, please share them here. We appreciate your feedback!

I hereby certify that the information provided in this application is accurate and complete to the best of my knowledge. I understand that as a referral agency, Caring Connections relies on this information to make informed placements. *

I acknowledge that providing false or misleading information may result in the discontinuation of my application process or removal from the agency's referral list.