Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
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Do you have a drivers license?
*
Yes
No
Are you a U.S. citizen?
*
Yes
No
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Position
*
Part-time
Full-time
Live-in
Night Nurse
Back-up Childcare
Available to Start
*
-
Month
-
Day
Year
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Upload a Clear Photo of Yourself
*
Upload a File
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Upload CHILDCARE Resume
*
Upload a File
Word or PDF Documents Only
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Please list all childcare related jobs with dates, ages of children and duties performed
*
Include reference name, phone #, and relationship.
Please list 3 CHILDCARE references with phone number and/or email
*
Experience & Training
How long have you been a nanny?
*
How old were the children you cared for?
Do you have any former childcare training?
Are you CPR certified?
*
Yes
No
Are you willing to take CPR classes?
Yes
No
What would you do if the child was sick or had an emergency?
Is it OK to run a background check on you?
Yes
No
Philosophy & Approach
Why are you a nanny?
Why are you looking for a new position?
Describe your ideal family/employer?
What do children like best about you?
How do you comfort children?
How do you discipline children?
What are your favorite activities to do with children?
Describe a typical day.
Logistics
Do you have any future plans that would limit your work?
Do you have a functioning car? What make and model?
*
Do you feel comfortable driving children?
Have you ever been in an accident or received a driving violation?
*
Yes
No
Please explain the accident or driving violation:
Have you ever been convicted of a misdemeanor or felony?
*
Yes
No
Please describe the misdemeanor or felony:
Do you smoke?
*
Yes
No
Are you willing to do light chores while the children are sleeping?
Yes
No
Are you willing to take care of sick children?
Yes
No
Do you feel comfortable with pets?
Yes
No
Would you be able to work on evenings or weekends?
Evenings
Weekends
Evenings and Weekends
No Evenings / No Weekends
Flexible to travel?
Yes
No
Salary Range
Please detail your availability:
*
Include the hours and days that you are available Monday - Sunday.
How did you hear about us?
Online Search
Family / Friend
Social Media
Flyer
Metro Parent
Other
Who referred you?
Have you applied with us before?
Yes
No
Are you interested in becoming part of our back up care team?
*
Yes
No
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