E-Granny Employment Application Form

E-Granny Application

The application process is absolutely free. Working with E-Granny is always free for job seekers.
Name:*

First NameLast Name
Maiden Name
Birth Date

MonthDayYear
Phone Number:*
E-mail Address:*
example@example.com
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?*

Walk-InEmployeeNewspaper AdFacebookTwitterCraigslistGoogleWebsiteOther
If you were referred, who referred you?
Have you applied to E-Granny before? And if so, when and why didn't it work out?
Upload Resume:

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Education (please select all that you've completed)*

High School DiplomaAssociateBachelorsMastersDoctorateSome collegeOther
Name of high school and year of graduation*
Name of college
Please describe your major and area of study
Did you graduate college? If so, what year?*
Did you attend any other schools? If yes, please detail below
Job Skills, Experience & Training
Years of Paid Childcare Experience*
Please provide a timeline of your professional (paid) experience. Include dates of employment, duties, title, ages of children, etc.*
Years of Unpaid Childcare Experience
Please provide the timeline of your unpaid (life) experience. Include dates, duties, skills, and ages of children, etc.
Describe your skills as it pertains to this profession:
Certifications (please select all that currently apply)*

Adult CPR/FAChild CPR/FAInfant CPR/FAFood Handler's PermitNurse AidNurse-RNNurse- LPNELCCT CertifiedTeaching CertificationNewborn Care CertifiedDoula CertifiedParaprofessionalCertified LifeguardSports CoachNoneOther
Additional Training or Certifications
Upload Any Certifications

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I have childcare experience with the following age groups (select all that apply)*

NewbornInfantToddlerPreschoolSchool AgePre TeenTeenageElderly care
Have you ever worked with special or neurodiverse needs?*

YesNo
Would you be comfortable working with a special or nuerodiverse needs?*

YesNoOther
Please check all that apply to your past experience

Severe allergiesAsthmaADHDADDAutismDown SyndromeODDPhysical HandicapsIntellectual DisabilitiesG-TubeSpeech DelaysGross and Fine Motor DelaysHearing ImpairmentsOther
Please detail any additional special needs experience
Please select any that apply to your skills and past experience*

TutoringMeal PrepCare with a parent at homeCare with a parent working from homePostpartum CareMaking homemade baby foodTraveling with clientsOvernight CareForeign Language InstructionNutritionSports coachingOrganizational projectsEvent CareParaprofessionalAmerican Sign LanguageOther
If other, please describe:
Do you know any additional languages? If so, detail them below*
My favorite employer was amazing because...
Position Availibility

Details about your desired role

Ideal Work Schedule:
Monday from Time   to   Time
Tuesday from   Time   to   Time
Wednesday from   Time   to   Time
Thursday from   Time   to   Time
Friday from   Time   to   Time
Saturday from   Time   to   Time
Sunday from   Time   to   Time
Desired pay range (From $__ to $__)*
What type of role are you seeking*

Full-Time (30 hrs or more)Part-Time (29 hrs or less)Live OutLive InBefore SchoolAfter SchoolBefore & After SchoolDate NightTemporary CareSummer CareSchool Break CareEvent CareOther
Please detail any other information regarding your preferred schedule
Preferred Age Groups (select all that apply)*

NewbornInfant (3mo-18 mo)Toddler (18mo-3yr)Preschool (3-5)School age (6-10)Preteen (11-12)Teenage (13-19)
I can comfortably care for up to __ children at a time*
What household tasks are you willing to do?*

Cleaning for child/childrenCooking for child/childrenLaundry for child/childrenTransportation for child/childrenHomework assistancePlaydate planningVacuumingHomeschool assistanceHousehold managementPersonal assistantOther
If other, please describe
Are there any physical limitations we should accommodate? (ex. no stairs, lifting restrictions, visual impairments, hearing impairments, etc.)
Are you legal to work in the U.S.?*
I can comfortably commute to the following location(s) for work*

TulsaJenksBixbyBroken ArrowCowetaOwassoCollinsvilleCatoosaClaremoreSapulpaMuskogeeSand SpringsOKCNormanEdmondOther
If other, please describe:
At E-Granny we respect your right to bodily autonomy. We do not require any vaccines as a condition of employment with us. That said, some of our clients have immune compromised children and prefer a childcare professional that has received the COVID 19 vaccine. To help us find the right client/family for you, please indicate below:*
If hired with a client, how long could you commit to working with them?*
Do you need to bring any children with you to work? If yes, how many and what age(s)?*
Additional Info
Preferred Pronouns
Are you on Facebook? If so, what's your user name?
Have you ever been arrested or called in for questioning by the police?*

YesNoOther
Have you ever been convicted of a crime?*

YesNo
Please describe
Do you drive?*

YesNo
Do you have a vehicle for work?*

YesNo
Do you have current automobile insurance?*

YesNo
Are you comfortable transporting children for work purposes?*

YesNoOther
How many accidents have you had in the last 5 years?*

None1234 or more
How many traffic tickets have you had in the last 5 years?*

None1234 or more
What is the make and model of your vehicle?
How many car seats or boosters can you fit in your vehicle?*

Zero1234 or more
Competency

Please rate your competency in the following areas.
Physical: ensuring safety, feeding, diapering, bathing, naps time, playing, transporting*

1

2

3

4

5

1 is Not competent, 5 is Extremely Competent
Education: developmentally appropriate play, age appropriate instruction, reading, music, sensory play, staying up to date on child related data and instructional guidelines*

1

2

3

4

5

1 is Not competent, 5 is Extremely Competent
Emotional: comfort, regulation, behavioral guidelines, empowerment, consistency*

1

2

3

4

5

1 is Not competent, 5 is Extremely Competent
Household: Kitchen tidying, children's laundry, cleaning the children's room, child related meal planning and prep*

1

2

3

4

5

1 is Not competent, 5 is Extremely Competent
I am comfortable with the following pets*

DogsCatsReptilesLivestockNoneOther
Any food, environmental or pet related allergies we should be aware of?
I work best when...
I would leave job if...
I don't enjoy working with families that...
What motivates you?
Why do you want to care for children?*
How would this role fit in with your long-term goals?*
What are some of your hobbies or interests?*
Do you currently or have you volunteered in the past? If so when and with what organizations?*
Tell us about any travel experiences you've had
What other commitments do you have?*
Do you have any musical or athletic talents?
What form of discipline do you think is the most effective?*
If hired, I would be an excellent asset to a family because____*
Those who know me describe me as*
While caring for children, I enjoying filling our days with _____
The worse criticism I ever received was:
I would love to learn more about....
Professional Certifications: Our clients prefer a childcare professional that maintains a current CPR (adult, infant, child)/First Aid Certificate. Do you agree to acquire and maintain this certification?*

YesNo
Professional Certifications: Our clients prefer a childcare professional that is committed to receiving at least 12 hours of professional development per year. E-Granny offers free continuing professional development courses every other month. Do you agree to attend 12 hours of professional development annually?*

YesNo
Professional Certifications: Regarding swimming supervision, our clients prefer a childcare professional that completes a water safety course or provides proof of prior lifeguard certification. E-Granny offers a free water safety course annually. If you provide swimming supervision, do you agree to provide proof of prior lifeguard certification or attend a water safety course?*

YesNo
Would you work with a family of another faith and/or culture?*

YesNoOther
How can we best communicate deadlines, timelines and updates?*

EmailTextPhoneOther
References

Please list a minimum of 3 professional references that are familiar with your work life.
Professional Reference 1
Professional Reference 1:*

First NameLast Name
Phone Number*
Email Address
Are you currently in this position?*

YesNo
Any children? If so what ages:
Briefly describe what you did in the position:*
Why did you leave?*
Relationship to applicant*
Years Known:*
Professional Reference 2:*

First NameLast Name
Phone Number*
Email Address
Are you currently in this position?*

YesNo
Any children? If so what ages:
Briefly describe what you did in the position:*
Why did you leave? *
Relationship to applicant:*
Years Known:*
Professional Reference 3:*

First NameLast Name
Phone Number*
Email Address
Are you currently in this position?*

YesNo
Any children? If so what ages:
Briefly describe what you did in the position:*
Why did you leave? *
Relationship to applicant:*
Years Known:*
Character Reference 1:*

First NameLast Name
Phone Number*
Email Address
Any children? If so what ages:
Briefly describe what you did in the position:
Why did you leave?
Relationship to applicant:
Years Known:*
Character Reference 2:*

First NameLast Name
Phone Number*
Email Address
Are you currently in this position?

YesNo
Any children? If so what ages:
Briefly describe what you did in the position:
Why did you leave?
Relationship to applicant:
Years Known:*
Upload any letters of recommendation

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I attest that I've completed this application truthfully and to the best of my knowledge. *

Clear
Should be Empty:

E-Granny Application