Caregiver Inquiry Form

  • Caregiver Inquiry Form

    Welcome to Nanny Match! We look forward to supporting you on your journey as a caregiver. As this is the first step in our recruitment process, we kindly ask that you complete the form in its entirety. After completing the form, a member of our team will contact you within 24 hours to schedule your phone interview. We can't wait to meet you!
  • Format: (000) 000-0000.
  • Are you legally authorized to work in the United States?*
  • Are you currently 21 years of age or older?*
  • Do you reside in the state of Pennsylvania or plan to relocate within the next 3 months?*
  • Do you hold a High School Diploma or Equivalent?*
  • Do you have at least three years of experience as a childcare provider (outside of your family and friends)?*
  • Which age group of children do you have the most experience with? Select all that apply.
  • Is this your first time working as a Nanny?*
  • Is this your first time working with a Nanny Agency?*
  • Do you agree to cooperate with us in a thorough background investigation (these searches may include a motor vehicle report, employment and criminal background check)?*
  • Are you willing to be paid legally, or "on the books" as a W-2 employee?*
  • Have you ever been convicted of a crime?*
  • Have you or will you receive the COVID-19 vaccination?*
  • Do you have a valid Driver's License?*
  • Is your Driver's License currently restricted, suspended or expired?*
  • Are you a smoker?*
  • Do you hold a valid CPR license?*
  • Which position(s) would you like to be considered for?*
  • Rows
  • If selected, would you like to be added to our back-up care list?*
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