Simple Job Application Form

Nanny Application

Please complete the form below to apply for a position with us.
Full Name

First NameLast Name
Birth Date

MonthDayYear
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long have you lived at your current address?
Email Address
example@example.com
Phone Number
Hours

Part Time(Under 30 Hours)Full Time(Over 30 Hours)
Please indicate your desired hourly wage:
Driver's License Number
State in which license was issued
How long have you been driving?
Do you own a car?

YesNo
If yes, year, make and model?
Are you willing to use your vehicle for work?

YesNo
Do you have any misdemeanors or felony convictions on your record? If so please explain.
How many years of professional childcare experience do you have?
How do you redirect children?*
How do you cultivate parent/nanny relationships?
Have you ever had to talk to a family about a difficult issue? What was it and how did you handle it?*
What are your strengths? What are your areas of improvement?*
Describe your teaching style?*
Do you speak any other languages? If so what are they?
Please provide 3 professional references*
Please provide 3 personal references*
Any other helpful information about yourself?
Date Available

MonthDayYear
Date
Monday availability
Tuesday availability
Wednesday availability
Thursday availability
Friday availability
Saturday availability
Sunday availability
How did you hear about Five Starr Nanny Agency
Upload Your Resume and Any Other Beneficial Documents:

Cancelof
Should be Empty:

Nanny Application