Nannies On Board
Placement Application Form
Full name of child
First Name
Middle Name
Last Name
Sex
Male
Female
Other
Date of birth
-
Month
-
Day
Year
Date
Full name of child
First Name
Middle Name
Last Name
Sex
Male
Female
Other
Date of birth
-
Month
-
Day
Year
Date
Full name of child
First Name
Middle Name
Last Name
Sex
Male
Female
Other
Date of birth
-
Month
-
Day
Year
Date
Full name of child
First Name
Last Name
Sex
Male
Female
Other
Date of birth
-
Month
-
Day
Year
Date
Primary Guardian's Name
First Name
Middle
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Secondary Guardian's Name
First Name
Middle Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Emergency Contact
First Name
Last Name
Phone Number
Please enter a valid phone number.
Primary Address
Street Address
Street Address Line 2
City
Province
Postal Code
When would you like a nanny to start?
-
Month
-
Day
Year
Date
Ideal length of contract?
Do your children have any medical issues or neurodiversity that we should be aware of?
What kind of help do you need?
Part Time
Full Time
Occasional
Part Time turning to full time down the road
Unsure
Do you require transportation of your children?
Yes
No
Do you have any pets in the home?
Dog(s)
Cat(s)
Rabbit(s)
Reptile(s)
Other
Do you require care for all of your children or only some of them? Please explain.
What is your primary reason for hiring a nanny?
Need an extra set of hands to help me while I'm at home
Need time to myself
Need time to run errands child free
I work from home
I work out of the house
Desired Hours
Rows
Morning
Afternoon
Evening
Overnight
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What are the main tasks that your ideal nanny would take care of?
Childcare
Children's laundry
Family's laundry
Driving children to extracurriculars
Meal prep
Cooking
Baking
Cleaning bathrooms
Vacuuming
Mopping
Dusting
Grocery shopping
Appointment scheduling and managing
Pet care
How many hours a week are you looking for?
Will the nanny be permitted to drive the children to activities and outings?
Yes
No
Possibly
Not right away but maybe down the road
If yes to the above question, do you have a vehicle that the nanny can use?
Yes
No
Possibly
No, they would need to use their own vehicle
Do you have any pets? If so, what kind?
How long do you anticipate hiring a nanny for?
Please Select
Have you hired a nanny before?
Yes
No
If yes, was it a positive experience? Please share any positive or negative feedback.
How did you hear about Nannies On Board?
Please Select
Instagram
Facebook
Advertising
TTMAC
Website
Friend/family
Referral
Contacted by agency
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