Family Application for Services
Heaven Sent Nanny
Your Name
*
First Name
Last Name
Your Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Your place of employment?
*
Your occupation
*
What service can we help you with?
*
Live-In Nanny
Live-In Nanny/Household Manager
Mother's helper
Target Start Date
*
-
Month
-
Day
Year
Date
Is your start date flexible?
*
Yes
No
How many hours a week do you need help?
*
Do you need the nanny to drive?
Yes, I need a nanny with a driver's license
No, I don't need the nanny to drive
Maybe
Please list children names and ages?
*
Do any of your children have special needs or health considerations or allergies? If so, please explain.
*
Do you have pets? If so, what kind?
*
Do you have other domestic help?
*
Housekeeper
Household Manager
Assistant
Chef
Driver
Security
No
Other
Pick which words best describes your family?
*
Fun
Structured
Athletic
Organized
Funny
Laid back
Health conscious
Busy
Creative
Loving
Comedians
Have you employed a nanny or Au Pair before?
*
Yes Live-In Help
Yes Live-Out Help
No
What salary/compensation range are you offering based on 45 hours?
*
Beginner nanny $600-$800 weekly ($13.33-$17.77 an hour)
Has some live-in exp $800-$1000 weekly ($17.77-$22.22 an hour)
Has several years live-in exp $1000-$1200 weekly ($22.22-$26.66 an hour)
Other
Any other perks or benefits you plan on providing?
*
Gym membership
Cell phone reimbursement
Car to use on personal time
Gift cards
Gas cards
Travel with family
Health insurance
Tuition reimbusement
401K
Free day from time to time for excellent service
Holiday bonus
Guaranteed hours
Stay on another year bonus
None
Other
Are you providing a vehicle for the nanny to drive for work related errands?
*
Yes
No
Maybe
We can talk about it
Are you providing a vehicle for the nanny to drive for personal use
*
Yes
No
Maybe
We can talk about it
Do you need the nanny to travel with you?
*
Yes
No
Maybe
Does the nanny need a passport?
*
Yes
No
Maybe
Will your Live-In help have her own private bathroom?
*
Yes
No
Share with kids
Guest bathroom
N/A Looking for Live-Out help
What is the age range of the nanny you are looking for?
*
What level of experience are you looking for in your candidate?
*
Beginner
Some experience
Several years' experience
A mom with grown children
Grandma type
Open to any level of experience
Other
is there a religion you are requesting your candidate to be?
Christian
Catholic
Mormon
Jewish
Hindu
Spiritual
Any religion is acceptable
Other
Please feel free to share your family religion
What are 5 of the most important qualities you value in your employee?
*
Open
Honest
Structured
Nurturing
Trustworthy
Flexible
Timely
"Can do attitude"
Loving
Creative
Engaging
Organized
Passive
Are you looking for your candidate to speak a foreign language?
*
Spanish
French
German
Korean
Italian
No
Other
Please describe family location
Is there anything else that you would like to tell us about your children, family, or the position?
I understand that there is a $50 application fee once you have spoken to a team member, and you have decided to move forward with the application process and want our help seeking candidates. The application fee will be credited to the placement fee that is due once you hire an employee
*
Yes, I agree to pay the application fee if I desire to move forward with the application process after speaking with someone
No, I don't want to pay the application fee and don't desire to move forward with the application process.
Other
How did you hear about us?
*
Please send us a family photo
Please verify that you are human
*
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