Family Application for a live-in Nanny
Heaven Sent Nanny
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Occupation
*
Target Start Date
*
-
Month
-
Day
Year
Date
Is your start date flexible?
*
Yes
No
How many hours a week do you need the nanny to work?
*
Please list children names and ages?
*
Do any of your children have special needs or health considerations or allergies? If so, please explain.
*
Please tell us what days and hours you need care?
*
Nanny's schedule
Do you have pets? If so, what kind?
*
Do you have other domestic help? If so, how often?
*
What light housekeeping duties will your nanny be responsible for?
*
Pick which words best describes your family?
*
Fun
Structured
Athletic
Organized
Funny
Laid back
Health conscious
Busy
Creative
Loving
Comedians
Have you employed a live-in Nanny or Au Pair before?
*
Yes
No
What hourly rate or salary are you offering?
*
Any other benefits you will be providing?
*
Are you providing a vehicle for the nanny to drive for work related errands?
*
Yes
No
Are you providing a vehicle for the nanny to drive for personal use
*
Yes
No
Maybe
We can talk about it
Does the nanny need a passport?
*
Yes
No
Maybe
Will nanny have her own private bathroom?
*
Yes
No
Share with kids
Guest bathroom
Will your nanny be responsible for running any errands or grocery shopping on the job? If yes, please list.
What is the age range of the nanny you are looking for?
*
What level of nanny are you looking for?
*
Beginner Nanny
Some Nanny experience
Several years Nanny experience
A mom with grown children
Grandma type
What religion of nanny are you looking for?
*
Please feel free to share your family religion
What are 5 of the most important qualities you value in a nanny?
*
Open
Honest
Structured
Nurturing
Trustworthy
Flexible
Timely
"Can do attitude"
Loving
Creative
Engaging
Organized
Passive
Please list any skills or abilities you desire in a nanny.
Please describe family location
Is there anything else that you would like to tell us about your children, family, or the position?
How did you hear about us?
*
Please send us a family photo
Please verify that you are human
*
Submit
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