Nanny and Caregiver Application

About The Nanny *

Briefly tell us about yourself. This will be shown to our families!

First name *

Please provide your first name.

Last name *

Please provide your last name.

Date of Birth *

Tell us your birthday, so we can celebrate you!

Email *

Please provide your email address.

Phone *

Please provide your phone number.

Zip / Postal Code *

Job position *

Which position are you applying for?

Have you ever worked as a Nanny or Babysitter before? *

At Sandhills Nanny Co. we require at least one year of experience!

How many years of experience do you have? *

Newborn to 9 Months 9 Months to 24 Months 2 to 5 Years 5 to 10 Years 10+ Years

Are you currently CPR/First Aid Certified? *

It's okay if you aren't. We will get you certified :)

Are you at least 18 years old? *

Are you willing to undergo a background check and drug test should we decide to work together? *

You will cover the cost of this screening of $48!

Do you have a reliable vehicle with valid registration and insurance? *

Please tell us your available start date. *

What is your your desired salary range? *

Please note; this must align with your qualifications and experience.

Please list your education; *

Are you legally eligible to work in the U.S *

Do you have a driver's license? *

Do you have your own car/reliable transportation? *

Have you ever been arrested or convicted of a felony/and or misdemeanor? *

Have you ever been the subject of a substantiated complaint of child or sexual abuse? *

Are you comfortable caring for children when they are mildly ill? *

Are you comfortable working around or with pets? *

Do you speak a foreign language? *

Do you have cooking skills? *

Do you have special needs experience? *

Do you know how to perform light housekeeping duties such as: washing/folding laundry, washing and putting away dishes? *

Do you have health insurance? *

Do you have any medical condition that could affect your ability to care for children? *

Are you comfortable supervising and swimming with children? *

Have you been immunized against the common childhood diseases? *

Are you willing to have an annual flu shot? *

Are you vaccinated? *

How many hours do you desire per week? *

How long are you willing to commit? *

Please describe any scheduling limitations or considerations for the next 12 months. Include current work and/or school schedules. *

Please briefly describe the type of caregiver you consider yourself to be. *

ex. lenient, fun, structured, etc.

Preferred Schedule *

Please tell us your preferred week schedule.

Childcare Experience *

Please only include your childcare experience. The more information you list here.... the better!

Job #1

Employer Name

Your Position

Start Date

End Date

Employer Phone

Employer Email

City

State

Job Description

Resume *

Please upload your resume. You must include your childcare experience and education to this resume. If you fail to do so, your application will be denied until a resume is submitted.

Three References *

Please list three references here! We need their full name, phone or email, and your relationship to the reference.

Reference #1

Reference full name

Full address

Reference phone

Reference email

Years known

Under what circumstances has this individual observed you with children?

Professional Photo *

This is a clear, happy photo. From the waist up. Please do not include a picture with a filter that is covering your face or a photo in a vehicle.

How did you hear about us? *

We believe references are everything. Tell us who sent you so that we can give them a special treat!

Signature *

By signing below you confirm that all information is accurate. You agree to give a notice of two weeks before leaving a position with our agency. You agree to sign the agency contract before working. You agree to cover the cost of your background check and drug test of $48.