Nanny Application

Name:*

First NameLast Name
Applying For*

Full-timePart-timeSummer Position
Birth Date*

MonthDayYear
Phone Number:*
E-mail Address:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about us?*
Are you eligible to work in the US?*

YesNo
Are you currently employed?*

YesNo
When can you start?*

MonthDayYear
Date
Days Available to Work: (Check all that apply)*

SundayMondayTuesdayWednesdayThursdayFridaySaturday
Describe the hours you are available to work:*
Upload Resume:*

Upload a File
Upload your professional resume and cover letter. If the file is too big email it to info@cloud9nannies.com. Cancelof
Education
Do you have a High School degree?*

YesNo
High School/City
Do you have a college degree?*

YesNo
College and Degree*
Highest level of degree obtained*
Describe any other education experience:
Job Skills & Training
Describe your childcare skills:*
Describe in a few sentences
Describe your personality:*
Describe in a few sentences
What are your favorite activities to do with children?*
Describe in a few sentences
Experience with Special Needs:*
Do you have any physical or lifestyle limitations that would prevent you from being able to do you job?
Describe your comfort level and experience cooking for a family:*
Do you have experience with mulitples?

YesNo
If yes, describe your experience:
Are you CPR/First Aid Certified*

YesNo
Expiration Date of CPR/First Aid Certification:*
What languages do you speak fluently?*
Do you have a valid Drivers License?*

YesNo
Do you have a car?*

YesNo
Are you comfortable with pets?

YesNo
Work History
1. Company/Family*
Start Date*
End Date*
Reason for Leaving:*
2. Company/Family*
Start Date*
End Date*
Reason for Leaving:*
Compensation
What is your required hourly rate? *
Example $15-20/hr
References

Please list three (3) professional references that are familiar with your work life.
Reference 1
Name:*

First NameLast Name
Phone Number:*
Relationship and years know/worked for them:
Reference 2
Name:*

First NameLast Name
Phone Number:*
Relationship and years know/worked for them:
Reference 3
Name:*

First NameLast Name
Phone Number:*
Relationship and years know/worked for them:
Should be Empty: