Nanny Application 2024

Full Name*

First NameMiddle NameLast Name

Age*

Sex*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

E-mail*

example@example.com

Emergency contact name*

Emergency contact number*

Please enter a valid phone number.

Emergency contact relationship to you*

Are you legal to live and work in the USA?*

YesNo

Are you Cpr-First Aid certified? This is required prior to employment*

YesNoWilling to become- We can help with this

Please share any other special training or certifications you have

What type of position are you applying for?*

Live-In NannyLive-In Nanny/Household Manager

How many total years of experience do you have in childcare, please include babysitting?*

Have you ever been a live-in nanny?*

YesNo

How many years live-in nanny experience do you have?

Have you been a live-out nanny?*

YesNo

How many years live-out nanny experience do you have?

Have you worked with special needs?*

YesNoSome

Have you worked with twins?*

YesNo

Have you ever worked in a daycare?*

YesNo

What age are you most experienced with? *

Age range

What is your favorite age to work with and why*

On a scale 0f 1-10 with 10 being the highest, how would you rate your newborn experience?*

1-10

What is the best part of about working with children?*

Weekly desired salary? Please keep in mind that room & board comes with a LIVE-IN position and is part of your compensation. Families pay based on experience. Salary is between you and the family*

Live-in positions $500-$700-Beginner level- No live-in nanny experienceLive-in positions $700-$800 Some live-in nanny experienceLive-in positions $800-$1000 Has at least 3 years of live-in nanny experienceLive-in positions $1000+ Has over 5 years of experience as a live-in nannyFlexible for the right family

Target start date?*

Date

Are you 100% sure you can commit to one year?*

YesNo

Are you 100% sure you are willing to relocate (within the U.S.) for a live-in position at no cost to you?*

YesNo

Do you have a driver's license?*

YesNo

How long have you had your drivers license? *

Do you have any tickets or accidents?*

YesNo

Please tell us about any tickets or accidents you have

Do you have a car you can bring?*

YesNo

Have you lived away from home before?*

YesNo

Do you have any food allergies?*

YesNo

If allergies, what food are you allergic to?

Do you eat a special diet?*

Any pet allergies?*

YesNo

What animals are you allergic to?

Do you have a pet? You may not bring the pet with you*

YesNo

If you have a pet, you understand that you may not bring it with you?*

YesNoDon't have pet

Do you have any children under 18? You may not bring them with you*

YesNo

If you have a child, you understand that they may not come with you*

YesNoDon't have children under 18

Please let us know what other language you speak? *

Do you play an instrument? If yes, what instrument do you play.*

Can you provide (3)three childcare references of families that you have babysat for in the past few years? This will be required prior to employment*

YesNo

Can you provide (3) three personal references? This will be required prior to employment*

YesNo

What year did you graduate high school?*

Do you have any college?*

YesNoSomeHave a degree

What college did you attend?

Please tell us about your childcare & relevant experience-*

Please tell us why you want to be a nanny- *

Please tell us why you would make a great nanny-*

What makes you unique?*

What are your 5 most important qualities-*

Pick what kind of family you want to be placed with- you can pick more than one answer*

Describe your personality-*

What are your hobbies & things you like to do in your free time-*

What are your special skills-things that you are good at?- Examples are; cooking, baking, swimming, sports, arts, writing, skiing, dancing, teaching, gardening etc..*

Please feel free to tell us anything else you want us to know about yourself-

Please feel free to share any religious background or affiliations you have, not required

Please write a letter to the potential family. List your experience, your interests, your accomplishments/achievements, your hobbies, special skills, your athletic interests, musical abilities, your awards, any certifications you have received. Let them know who you are, what you like to do, your experience and let them get to know you and why you are a great candidate *

How did you hear about us?

DISCLAIMER: This Notice – Background Investigation document is intended for instructional purposes only and is not intended as legal advice. We recommend you consult with an attorney to review this document and the corresponding state notices to ensure your compliance with the applicable state laws related to background screening and consumer notices and disclosures.

NOTICE – BACKGROUND INVESTIGATION

In connection with your employment with a Heaven Sent Nanny LLC Family/Client, (the “Company”), notice is hereby given that a consumer report and/or investigative consumer report may be obtained from a consumer reporting agency for employment purposes. These reports may contain information about your character, general reputation, personal characteristics and mode of living, whichever are applicable. They may involve personal interviews with sources such as your neighbors, friends or associates. The reports may also contain information about you relating to your criminal history, credit history, driving and/or motor vehicle records, education or employment history, or other background checks.

You have the right, upon written request made within a reasonable time after the receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report prepared by contacting the Company and Protect My Ministry 14499 N. Dale Mabry Hwy., Suite 201 South, Tampa, FL 33618; Phone: 1-800-319-5581. For information about Protect My Ministry’s privacy practices, see www.protectmyministry.com. The scope of this notice and below authorization is not limited to the present and, if you are hired, will continue throughout the course of your employment and allow the Company to conduct future screenings for retention, promotion or reassignment, as permitted by law and unless revoked by you in writing.

I agree the Company may rely on this authorization to order background reports, including investigative consumer reports, from companies other than U.S. INFORMATION SEARCH without asking me for my authorization again as allowed by law. I also agree that a copy of this form is valid like the signed original. I certify that all of the personal information I provided is true and correct.

ACKNOWLEDGEMENT AND AUTHORIZATION

By signing below I hereby authorize the obtaining of consumer reports and/or investigative consumer reports by the Company at any time after receipt of this authorization and throughout the course of my employment, if applicable.

First & last name*

First NameLast Name

Middle name*

Middle name

Date of birth*

Date

Driver's License number*

Driver's License state of issuance*

Are you willing to provide your Social Security number for a background check if you are offered a position by a family? This will be required for employment*

YesNoOther

You agree and understand that we have your permission to run a background check on you once you are offered a position?

YesNo

Please upload of photo of yourself

Signature*

Date

Please verify that you are human*

Heaven Sent Nanny Job Application

Personal Information

Questions and Details