Nanny Application Form

1
Name:* This field is required.
First Name
Last Name
2
Birth Date
Month
Day
Year
3
Phone Number:* This field is required.
Area Code
Phone Number
4
E-mail Address:
5
Address:* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
I am applying to work as a
Native English Speaking Nanny
Bilingual Nanny
Language Teacher
Travel Nanny
Temporary Nanny (1-3 months)
Other
7
Location of where you intend to live and work
Portland
Buenos Aires
Mexico City
Other
8
How were you referred to us?* This field is required.
Friend
Facebook
Instagram
Craigslist
Other (please specify)
Google
9
Others:
10
Upload Resume:
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Select files to upload
Max. file size: 10.0MB
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11
Upload Recommendation Letters
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Select files to upload
Max. file size: 10.0MB
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12
Upload a photo of yourselfFamily friendly headshot
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
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13
Tell us a little bit about yourself, who you are as a person, special skills you have and anything else you would like to share.
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14
Are you able to commit to a family for 12 months or longer? Please explain.
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Job Skills & Training
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Describe your experience as a nanny or teacher:* This field is required.
17
What is your highest level of education? If you do not yet hold a degree, do you plan on attending a university in the near future? Please explain in detail.
18
What languages do you speak? Please explain in detail about your language level, reading and writing skills in each language.
19
Do you have any Training or Certifications related to education, childcare and/or teaching?
20
What makes you the "perfect" nanny or teacher? Please share your thoughts on what sets you apart from other nannies, your qualities and why a family would be lucky to have you as their nanny/teacher.
21
How many years experience do you have working as a nanny or teacher? Which ages do you have the most experience? Please explain in detail.
22
What are your hobbies and interest?Please explain in detail.
23
Are you able to travel temporarily with the family?
24
Any allergies or health conditions?
25
Do you have children of your own?
26
Do you have a criminal record? Please explain in detail.
27
Do you have your First Aid and CPR certificate?
28
Do you have newborn care experience? If so how many years?
29
I am
Fully vaccinated
Partially vaccinated
Not vaccinated but plan on doing so
Not vaccinated and don't plan on getting vaccinated
30
Do you have a valid drivers license and vehicle? Do you have a clean driving record and car insurance?Please explain in detail.
31
Do you smoke?
32
How soon can you start working with a family?
33
Please share your social media profile links with us. Copy and paste your facebook, instagram, twitter, linked in URL below and any other social media profile.
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References

Please list two (2) references from former employers. Must be childcare or teaching related. Family and friends do not count as references. Must be professional work experience. Volunteering (non paid) work is accepted.
35
Reference 1
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Name:* This field is required.
First Name
Last Name
37
Phone Number* This field is required.
Area Code
Phone Number
38
Email
example@example.com
39
Years Known:* This field is required.
40
Reference 2
41
Name:* This field is required.
First Name
Last Name
42
Phone Number* This field is required.
Area Code
Phone Number
43
Email
example@example.com
44
Years Known:* This field is required.
45
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Todays date
Date
Year
Month
Day
Should be Empty: