2895584 - STEP 3: FAMILY QUESTIONNAIRE

Step 3: Questionnaire
The information provided is confidential between Starling Agency, LLC and the Client. Information provided will help us identify the best possible candidates to fit your family’s needs.

Directions: Fill-in each field below. Please be as specific as possible with the information provided paying specific attention to schedule, benefits, rate, and duties. The information in the questionnaire will inform your job description and work agreement. Recurrent changes to the job description may incur an amendment fee.
Parent 1: First Name
Primary Contact
Parent 1: Last Name
Parent 1: Best Phone to Contact

Area CodePhone Number
Parent 1: Email
example@example.com
Parent 1: Employer
Parent 2: First Name
Parent 2: Last Name
Parent 2: Best Phone to Contact

Area CodePhone Number
Parent 2: Email
example@example.com
Parent 2: Employer
Neighborhood
Queen Anne, Redmond, Laurelhurst, etc.
Home Address
City
State
Zip Code
Services You Are Interested In:

Full-Time Nanny Placement / Long TermPrivate EducatorTutorPostpartum CareConsultationPart-Time Nanny Placement (Currently Unavailable)Nanny Screening (Currently Unavailable)Nanny Share (Currently Unavailable)Temporary Placement (Currently Unavailable)

Family Blurb
IMPORTANT: The following section will inform applicants in your family’s voice. The most interest is generated from lively and playful insight. What are your child’s interests? What makes them smile? What sets your family apart? The information provided will be shared with applicants. Please do not include names. Find examples here.
You'll be teaching:
You'll be caring for:
Our mini Jedi & sidekick fairy!
Our family is:
Our family theme song is:
Stayin' Alive!
Our household is:
Our nanny will be:
Our childcare goals are:
Optional Photo
In order to help introduce yourself to promising nanny candidates, as well as help the nanny identify you at an interview, please upload a photo below. This is entirely optional.

Browse Files

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Agency Process
IMPORTANT: Due to the level of time and dedication that goes into each placement, Starling gives priority care to families that exclusively work with our agency. We ask that your family choose to focus with our firm in order to acheive the best results. As leading professionals in our area, we have a vast market reach which eliminates the need for multiple agents and platforms. Starling reserves the right to terminate search efforts, if additional resources present a conflict to our search process. We look forward to working as a team and ensuring the highest level of tailored attention to your nanny search!
We are committed to working exclusively with Starling:

Yes - of course!We're undecided - let's discuss!
If you are planning to utilize other services to find a nanny and/or educator, please list the source:
Have you ever worked with an agency before?

YesNo
If so, what were some of the positives and negatives?
How can Starling Agency best meet your family's needs?
List any other childcare or educational options you are currently exploring:
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