Nanny Application

Name *

First Name Last Name

Date of Birth

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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	Country

Phone Number *

Area Code Phone Number

E-mail *

Position *

Part-time Full-time Live-in Night Nurse Back-up Childcare

Available to Start *

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Upload a Clear Photo of Yourself *

Upload CHILDCARE Resume *

Word or PDF Documents Only

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 *

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

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.

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

Experience & Training

Philosophy & Approach

Logistics