Family Application - Nanny Placement

Family Inquiry Form

Please be as detailed as possible. We will use this information to help find the best match for your family. We look forward to working with you!

Parent One - Full Name *

Please provide your full name.

Profession of Parent #1

Parent Two - Full Name

Please provide the full name of any additional parent in the home.

Profession of Parent #2

Email of Primary Contact *

Please provide your email address.

Phone Number of Primary Contact *

Please provide your phone number.

Street Address *

City *

State *

Zip / Postal Code *

Your Children *

Please tell us a little about each of your children that will need care. Click the (+) at the bottom right to add another child..

Short Term Nanny Long Term Full-Time Nanny (30+ hours) Long Term Part-Time Nanny (under 30 hours)

Start date *

What is the ideal start date?

Preferred Schedule *

Please tell us your preferred weekly schedule.

Preferred Rate Range *

Please provide a comfortable rate range. It is important to note that we require a minimum starting rate of $18 per hour.

Job description *

Tell us about what you're looking for.

Are there pets in the home?

Please list type of pet, weight, and temperament.

Please describe your preferred childcare philosophy or approach.

Are you looking for a multi-lingual nanny?

Please list language preferences below.

Will the nanny use their own vehicle or will you provide one for on-the-job use?

Domestic Travel International travel Both None

Do you require your nanny to be vaccinated?

Please list which vaccines you require below.

What qualifications are important for your caregiver to have? *

Please list what qualifications you would prefer. This can include certifications, college degrees, training, etc.

Additional notes for your position...

When would be a good time for us to reach out? *

Please allow up to 48 hours for a response.

How did you hear about Premier Nanny Co.? *