O.C. Nannies & Newport Domestic Agency Application

Upload Your Profile Pic *

Please ensure this photo is from shoulders and above.

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 *

What type of position are you looking for? *

Live In Live Out Full Time Part Time

Job position *

Which position are you applying for?

Are you looking for temporary or permanent work? *

Preferred Schedule *

Please tell us your preferred week schedule.

What's your ideal start date? *

What is the hourly rate you're looking for? *

You may enter a range or a specific number

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

Please tell us about yourself. *

Briefly introduce yourself to the families that will view your profile

How many years of professional experience do you have? *

Which languages do you speak? *

What's your level of education? *

Do you have a valid driver’s license? *

Do you have your own car? *

If so, please state the make and year of the vehicle

Do you have infant experience or are you a NCS?

Only necessary for child-related positions

Are you willing to drive your own car at work?

Do you have experience working with special needs?

If so, please list type of special needs. Only for child related positions.

Are you comfortable in the water with children?
Only necessary for child-related positions

I am a strong swimmer! I am very comfortable in the water. Im an average swimmer and prefer to be in shallow water. I am not comfortable in the water, and cannot swim.

Are you pet friendly? *

Do you have computer skills? *

Do you have CPR Certification? *

Upload CPR and First Aid Certification (if any)

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

Job Description

References *

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

Reference #1

Reference full name

Full address

Reference phone

Reference email

Years known

Under what circumstances do you know this individual?

How did you hear about us? *