Nanny Application

Profile Pic *

Please upload a profile picture.

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 *

Zip / Postal Code *

Job position *

Which position are you applying for?

Bio *

Please tell us about yourself! Note: Families will be able to see this section when you're active with our agency.

Are you over the age of 18? *

Date of Birth *

Are you looking to Live In / Out? *

What type of job are you looking for? Part / Full Time? *

Years of childcare experience and age groups you have experience with *

e.g. 10 years of experience with children ranging from 0-12

When are you able to start? *

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

If so, please state below.

What's your expected hourly rate? *

Do you have a valid driver's License? *

Do you have a car? *

Car Type *

Willing to use own car?

What languages do you fluently speak? *

English Level *

Work Eligibility *

What is your education level? if above HS/GED, please state the specifics such as college name, degree, major/minor. *

College education is not a requirement, we only need this information for placement purposes, and truly want to get to know you!

TB Test Exp-Date

T-DAP Date

CPR Exp-Date

If not CPR certified, are you willing to get certified?

Covid-19 vaccinated? *

Have you ever been convicted of a felony? *

Have you ever been registered as a sex offender in any jurisdiction? *

Have you had any DUIs in the last 10 years? *

Are you okay if the family has pets? *

If not, please state the reason why. e.g. allergies

Hobbies / Interests *

Please enter any interests you may have on your free time. We'd love to get to know you better!

Do you have cooking skills? *

Please select one that applies

Are you comfortable with housekeeping duties? *

Please select one that applies

Skills and Highlights

Please enter any job-related skills here... We will share this on your profile!

Are you available to do occasional overnights? *

Comments

Please feel free to give us a little more insight on what would be your ideal role.

Employment History *

Add atleast 3 most recent and relevant work history below. Click + to add more entries. Please ensure you are entering the correct information and as much detail as possible.

Job #1

Employer Name

Your Position

Start Date

End Date

Employer Phone

Employer Email

City

State

Ages of children upon hire

Job Description

References *

Add your a minimum of 3-5 work references below. Click + to add more entries. Please note that your application will not be accepted if there's less than 3 verifiable professional refs.

Reference #1

Reference full name

Full address

Reference phone

Reference email

Years known

Under what circumstances do you know this individual?

Preferred Schedule *

Please tell us your preferred week schedule.

How did you hear about us? *