Temporary Care Form

***Above & Beyond Nanny Services, Inc.*

Join Our Team of On Call Temp Nannies.

This Experienced Group of Childcare Providers Step In and Provide Care in a Pinch!

First name *

Last name *

Email Address *

Cell Phone Number *

Cell Phone Carrier *

Date of Birth *

Street address *

City *

State *

Zip / Postal Code *

Total Years of Childcare Experience

Please describe your childcare / nanny experience history. *

Your application will not be accepted into the corporate systems if your answer is less than 250 characters.

Job position *

This form is for applying to temp positions only.

How did you hear about us? *

Please list your experience with newborns (years)

Please list your experience with infants *

Please list your experience with toddlers *

Please list your experience with preschool ages *

Please list your experience with school ages *

Please list your experience with special needs children *

Please list your experience with multiples *

Do you have a reliable vehicle? *

Are you a non-smoker? *

Are you a certified Lifeguard *

Are you Infant/Toddler CPR and First Aid Certified *

Are you aware that driving children is not allowed on temporary care jobs. *

Are you aware that caregivers are not permitted to administer medications of any kind to children. *

Are you socially distancing *

Have you had Covid previously? *

Have you had a Covid vaccine? *

How are you filing on your tax document - Married / or Single? *

How many would you like to have listed as dependents? EX. 0, 1,2? *

Please upload a picture of your CPR Certification (this is required) *

Please upload a picture of your Driver's Insurance (this is required) *

Please list at least 5 References! Please ensure you add their e-mail addresses or the references will not be considered valid. *

Add your work references below.

Due to liability and safety precautions, I agree to only accept shifts from families that have been confirmed from corporate or the agency. If a family from corporate reaches out to book shifts privately, I will not accept the shift unless confirmed with *

Temporary Care Form

​​​​Above & Beyond Nanny Services, Inc.

***Above & Beyond Nanny Services, Inc.*