Nanny Application

1
2
At Rochester Poppins LLC honesty and integrity are at the cornerstones of everything we do. When filling out this application, we ask that you follow these same values and answer all questions with complete honesty.By choosing "I Accept" you understand that all information you give us will be verified and used to match you with your perfect family. You also understand that the information you provide may be shared with potential families.
I Accept
I Don't Accept
3
Your Legal Name
First Name
Last Name
4
Date of Birth* This field is required.
Date
Year
Month
Day
5
Age* This field is required.
6
Phone Number* This field is required.Your information will not be shared. We will only use this to verify your reference.
Area Code
Phone Number
7
Email Address* This field is required.
example@example.com
8
Describe yourself in 4-5 sentences.* This field is required.Like painting a small picture :)
9
Are you authorized to work in the United States?* This field is required.
YESNO
10
Where do you live?* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
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
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
11
Do you have a valid driver's license?* This field is required.
YESNO
12
Do you have an insured and reliable vehicle?* This field is required.
YESNO
13
Has your license ever been revoked or suspended?* This field is required.If yes, please explain.
14
Have you ever been arrested?* This field is required.If yes, please explain.
15
Have you ever been convicted of a misdemeanor or a felony?* This field is required.If yes, please explain.
16
Do you have a passport in case of work-related travel?* This field is required.
Yes
No, but I would be happy to get one
No, and I don't want to travel for work
17
Are you CPR certified?* This field is required.Most certifications are valid for 2 years. To become recertified, go to the FAQ page on our website www.rochesterpoppins.com for easy options. All Nannies/Sitters must have an active certification before their first day on the job.
Yes, and it's current
No, but I would be happy to get recertified
18
What type of work are you looking for?* This field is required.Check all that apply.
Full-time Nanny
Part-time Nanny
Summer Nanny
Household Manager
Temporary/On Call
Personal Assistant
Overnight Nanny
Live-In Nanny
19
Are you interested in being added to our Occasional Care/Babysitter App?* This field is required.With this app, you can accept occasional jobs that fit into your schedule.
YESNO
20
What are the days and hours you are available to work?* This field is required.
21
When can you begin working?* This field is required.
22
Most caregiving positions through Rochester Poppins LLC require a minimum commitment of 1 year. Can you commit to this?* This field is required.If not, how long can you commit and why?
23
Would you be interested in staying in a position longer than a year?* This field is required.Give detail to help us better understand.
24
Tell us what you like to do for fun or how you keep your spark alive!
Huge
Large
Normal
Small
Ok
Ok
25
What is something that is unique about you? Do you have any unique interests?
Huge
Large
Normal
Small
Ok
Ok
26
How many years of experience do you have caring for kiddos?* This field is required.
2 years
3-4 years
5-6 years
7-10 years
10+ years
27
What age ranges do you have experience caring for?* This field is required.
Newborn 0-3 months
Infants 3-12 months
Toddlers 1-3 years
Preschool
School Age
All the above
28
Do you have experience working with multiple children at once?* This field is required.
YESNO
29
Do you have experience working with special needs?* This field is required.If so, explain.
30
How well can you swim?* This field is required.
Not at all
Expert
31
What languages do you speak fluently?* This field is required.
32
Are you comfortable working in a home that has pets?* This field is required.
Yes, I love being around animals and am happy to care for them
Yes, but I don't want to care for them
No, I have a pet allergy
No, I am not a fan
33
Are you comfortable cooking while on the job?* This field is required.
Yes, I'll cook for anyone
Yes, but only for the kiddos
No, I cant cook
34
Tell us about your most recent childcare job. Give as much detail as possible.* This field is required.Answer in this format: Position title, employers name, employers phone number, how long did you work here, how many kids/ages of kids, job responsibilities
35
What was your 2nd most recent childcare-related job?* This field is required.Answer in this format: Position title, employers name, employers phone number, how you worked here, how many kids/ages of kids, job responsibilities
36
What was your 3rd most recent childcare-related job?* This field is required.Answer in this format: Position title, employers name, employers phone number, how long did you work here, how many kids/ages of kids, job responsibilities
Huge
Large
Normal
Small
Ok
Ok
37
Tell us about any volunteer work you have done. When in doubt, add it! We want to hear it all.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
38
Almost there! Tell us any additional information you would like us to know about you. This can be additional work experience, personal experiences, etc. * This field is required.Gathering more information about you helps us to paint a greater picture of who you are and can help when finding you a perfect match.
Huge
Large
Normal
Small
Ok
Ok
39
Please upload your professional resume.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
40
Upload a family friendly photo of yourself to add to your profile!* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
41
Last question. How did you hear about Rochester Poppins LLC?* This field is required.
42
By signing below, I declare to the best of my knowledge the information I have given in this reference is correct and complete.* This field is required.
Clear
Should be Empty: