Quality Nanny Placements, LLC • Nanny Application

We are now hiring On-Call Caregivers Nationwide. If you are interested, please indicate that at the bottom of the application.

Please note - you can still apply for long-term placements if you are working with the On-Call department.

Contact Information

First & Last Name

First NameLast Name

Address

Street Address

Apartment #

CityState / Province

Postal / Zip Code

Main Contact Number

Area CodePhone Number

Other Contact Number

Area CodePhone Number

Email Address

Start Date

Date

Birth Date

MonthDayYear

Do you have a driver license?

Driver's License Number

This is for your required driving record check

Do you own a vehicle?

If yes, what type of vehicle do you own?

Ex: Sedan, SUV, Van, Truck, Jeep, etc.

Please specify what type of position you are interested in applying for.

Can you commit to working at least one year with a family? (permanent placements ONLY)

While you search for a long-term position, are you open to working in our Back-Up Care department doing on-call care? If Yes, someone will reach out directly to explain how it works.

In the event of an emergency, are you able to swim?

Do you speak any languages other than English?

If yes, what other language(s) do you speak?

Are you physically able to climb stairs throughout the day and chase after small children without any difficulty?

Other

Do you have a minimum of 3 years paid experience working as a childcare provider?

Do you have paid experience working with infants?

Do you have experience working with special needs children?

If yes, please list any experience that you may have with special needs children.

I am:

CPR Certified

Expiration Date

Month/Year

First Aid Certified

Expiration Date

Month/Year

Education History:

Highschool

Name

Date of Graduation

Year

Did you attend College?

College

Date of Graduation

Degree

Do you have additional Education to add?

College

Date of Graduation

Degree

Employment History:

Employer 1:

Employer's Name

First NameLast Name

Employer's Address

Street Address

Street Address Line 2

CityState / Province

Employer's Contact Number

Area CodePhone Number

Your Job Title

Start Date

Month/Year

End Date

Month/Year

Number of Children

Ages of children when you started

ex: 4 years, 7 years

List any responsibilities that you had

Reason for leaving

May we contact this employer as a reference check?

Employer 2:

Employer's Name

First NameLast Name

Employer's Address

Street Address

Street Address Line 2

CityState / Province

Employer's Contact Number

Area CodePhone Number

Your Job Title

Start Date

Month/Year

End Date

Month/Year

Number of Children

Ages of children when you started

ex: 4 years, 7 years

List any responsibilities that you had

Reason for leaving

May we contact this employer as a reference check?

Employer 3:

Employer's Name

First NameLast Name

Employer's Address

Street Address

Street Address Line 2

CityState / Province

Employer's Contact Number

Area CodePhone Number

Your Job Title

Start Date

Month/Year

End Date

Month/Year

Number of Children

Ages of children when you started

ex: 4 years, 7 years

List any responsibilities that you had

Reason for leaving

May we contact this employer as a reference check?

What hourly rate do you charge?

Final Questions:

Please answer each question as best you can. The more detail involved, the better idea the families will have of you!

Briefly describe why you enjoy being a nanny

Briefly, sum up what you have been doing for the last 3 years in your career

List one positive memory that you have from working as a nanny

Describe your beliefs about disciplining children

Describe your personality

Describe your hobbies and interests

Describe your childhood and how you were raised

Tell us what you think makes a great nanny

List anything else that you would like the family to know about

How did you hear about Quality Nanny Placements?

Is there a particular listed position you are interested in? If so, please list the name of the town for that job:

Town of position you are interested in

Are you interested in doing On Call work for the agency while you are searching for a long term position?

By checking the 'Yes' box below, you are verifying that you are legally authorized to work in the United States.

By checking the 'Yes' box below, you are verifying that you are agreeing to a background & driving record check.

By checking the 'Yes' box below, you are verifying that you are agreeing to commit to a minimum of one year with a family if you are placed

File Upload:

(This is NOT mandatory)

Photo

Upload a Photo

Limited to (2) photos; please make sure the photo is labeled as your name

Nanny Resume

Upload a File

Please make sure the file name is your first and last name

Please review your application and make sure that all of your information is correct before applying.

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Quality Nanny Placements, LLC • Nanny Application 2016