LPN NANNY APPLICATION

Lincoln Park Nannies

Nanny Application
Full Name*

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Birth Date

MonthDayYear
Are You a U.S. Citizen?

YesNo
Employment Desired:
Position Applying For
Date You Can Start

MonthDayYear
Salary Desired
Skills/Qualifications:
If you have never been a nanny before, please explain why you would like to pursue this opportunity:
List any relevant skills
Are you CPR certified?
List any relevant certifications or qualifications
How many years of experience do you have working with newborns?
If you are happy with your position, what is the maximum time you would stay with a family?
What are your future goals?
What are your interests and hobbies?
Please list activities you like to do with children.
What is your current health status? Medications?
Were you ever convicted of a crime? If yes, please explain.
Please describe your driving record; tickets, accidents, suspensions, violations, and dates received:
Please describe your discipline preferences when taking care of someone's child:
Do you have any exposed body piercings besides ears or exposed tattoos?
How would your friends and family describe your personality?
Please describe your childcare experience starting with the most recent family you're working for (if you are still with them) Please describe in detail each family you have worked for, what year, how many children they had, how old they were, your duties, and why you left the position. Thank you!
Please write a paragraph to introduce yourself to parents. Please briefly describe your family background and what brought you into the childcare field. Discuss, in detail, what qualities you have to offer a family as their nanny while referring to some of your previous positions that you have had with children.
References:

Please list your 3 most recent family references. (Families that you have worked for as a nanny, not related family members.)
Family reference 1
Name of Reference
Position (Part time/Full Time)
Amount of months or years worked for this family?
Phone
Email
Family reference 2:
Name of Reference
Position: (Full Time/Part Time
Amount of months or years worked for this family?
Phone
Email
Family Reference 3
Name of Reference
Position
Amount of months or years worked for this family?
Phone
Email
Thank you for taking the time to fill out our nanny application! We look forward to placing you with a wonderful family.

Please choose a time below to book your face time call with us to go over your application and available positions.
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Lincoln Park Nannies

Employment Desired:

Skills/Qualifications:

References: