Book Your Short-term Nanny
Complete the form below to tell us what you need. A placement coordinator will call you to answer any questions you have then confirm your reservation. It's simple!
Choose your Nanny program (don't worry, you can change your mind later):
*
Nanny Care Plan - Full-time
Nanny Care Plan - Part-time
Nanny Care Plan with the Free-for-Life Upgrade
Month-2-Month Program
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Other
Name
*
First Name
Last Name
Occupation
*
Address where care will be provided:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Name of your development/neighborhood
Phone number
*
Email address
*
example@example.com
Do you have pets? Please describe:
Does anyone work from home?
Yes
No
Have you previously employed a nanny?
*
Yes
No
Only babysitter(s)
Family Photo (optional)
Upload a File
Drag and drop files here
Choose a file
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Child Information
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Name
*
Date of birth
*
/
Month
/
Day
Year
Name
Date of birth
/
Month
/
Day
Year
Name
Date of birth
/
Month
/
Day
Year
Additional children:
Are there any behaviors, health problems, handicaps or special needs?
Briefly describe the child/ren's day or routine.
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Schedule & Needs
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At this time, we place Live-out Nannies only
Live-out is ok
Preferred start date:
-
Month
-
Day
Year
Date
How long do you need your nanny?
Duration
Please describe the schedule:
Is this schedule flexible?
This is the exact schedule I need
My schedule will alternate
I can set a schedule based on the nanny's availability
I'm not sure what the schedule will be yet
Additional Needs: (if applicable)
Occasional Saturdays
Occasional Sundays
Occasional evenings
Occasional overnights
Accompanying family on outings
Travel with family
Other
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Duties & Responsibilities
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Please describe the child/ren's routine and nanny job duties.
Light Housekeeping: (if applicable)
Dishes
Tidying/Organization
Laundry
Family meal prep
Other
Will the Nanny use their own car to transport the children?
Yes
No
I will provide a vehicle
Not Sure
Provided for use on the job:
Transportation, cell phone, petty cash, credit card, etc.
Is there anything else you'd like to tell us?
Submit
Should be Empty: