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Nanny Application Form
Hello and thank you for taking the time to fill out this application form. Please fill out each question in detail. No answer is too long or short. All the information you provide is very important and will help us match you with your dream family! Rochester Poppins LLC will reach out shortly after receiving this form. This will take around 15 minutes to complete. We look forward to connecting! Please remember, a minimum of 2 years working directly with children and passing a driving/background check is required to be matched with a family through our agency.  
42Questions
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    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.
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    Pick a Date
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    Your information will not be shared. We will only use this to verify your reference.
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    Like painting a small picture :)
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    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
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    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
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    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
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    • 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
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    • Fiji
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    • Gabon
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    • Gibraltar
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    • Greenland
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    • Guinea
    • Guinea-Bissau
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    • Iceland
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    • Ireland
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    • Japan
    • Jersey
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    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
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    • Kuwait
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    • 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
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    • 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
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    If yes, please explain.
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    If yes, please explain.
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  • 15
    If yes, please explain.
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    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.
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  • 18
    Check all that apply.
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    With this app, you can accept occasional jobs that fit into your schedule.
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    If not, how long can you commit and why?
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  • 23
    Give detail to help us better understand.
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    If so, explain.
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  • 30
    • 1
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    Not at all
    Expert
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  • 34
    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
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  • 35
    Answer in this format: Position title, employers name, employers phone number, how you worked here, how many kids/ages of kids, job responsibilities
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  • 36
    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
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    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.
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  • 39
    Drag and drop files here
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    Max. file size: 10.6MB
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  • 40
    Drag and drop files here
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    Max. file size: 10.6MB
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