Nanny Application

Nanny Application Form

Please Fill Out the Form Below to Submit Your Application!
Name*

First NameLast Name
What are your pronouns? (share if you'd like to)
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Address*

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you applying to a specific position from our job board? If so, which one?*
Earliest Possible Start Date*

MonthDayYear
What type of work are you looking for? Check all that apply.*

Part-Time 10-20 hours per weekPart-Time 20-30 hours per weekFull-Time 30-40 hours per weekFull-Time 40+ hours per weekWeekdaysWeekendsOvernightsTemporaryLive-OutLive-In
Please take your time with a thoughtful and thorough response to the following questions as these will be included in your profile that is viewed by families. 1. Tell us about yourself and your personality.*
2. Why have you chosen to work in childcare?*
3. What is your favorite thing about working with kids?*
What ages of children do you have professional experience with? Check all that apply.*

0-3 months3 months - 6 months6 months - 1 year1-3 years4-6 years7-10 yearsTweens and teens
How many children are you willing to care for? Check all that apply.*

123More than 3
How many years of experience do you have as a nanny? (Professional experience over the age of 18, do not count babysitting experience.)*
What hourly rate are you looking to be paid?*
What languages do you speak?*
Are you Infant/Child CPR Certified?*

YesYes, but it's expiredNo
Do you have any other certifications? (i.e. Newborn Care, carseat safety, etc)*
Do you have any degrees? If yes, please list.*
CA law requires in home nannies to be registered with Trustline. Have you previously registered with Trustline?*
Are you able to work legally in the United States?*
Do you have experience working with children diagnosed with any of the following?*

ADD/ADHDAutismPhysical disabilityIntellectual disabilityCommunication disorderOther diagnosisNo experience with these diagnoses
Are you ok with pets?*
Please check all that apply. Which of the following vaccines are you either up to date on or willing to receive if required by a family?*

CovidTdapMMRYearly Flu ShotI am not willing/able to be up to date on these vaccines and need to be matched with a family that does not require it.
How long can you commit to a family?*

Less than 1 year1 year2 yearsMore than 2 years
Are you open to traveling with a family? Check all that apply.*

NoYes, domestic travelYes, international travel
Driving on the job - Check all that apply.*

I do not have a driver's licenseI have a driver's license, but I am not willing to drive childrenI am willing to use my own car for driving children with mileage reimbursementI am willing to drive children in a family provided car
What tasks are you willing to do in addition to childcare? Check all that apply.*

Cooking for childrenCooking for the familyChildren's laundryFamily laundryGeneral tidying/light housekeepingGrocery shopping or other errandsHelping to care for a pet
Work History
Current or most recent childcare position:*
Next most recent childcare position:*
Upload Resume, please use PDF format *

Cancelof
Any Other Documents to Upload: Certificates, diplomas, recommendation letters, etc.

Cancelof
I acknowledge that I must pass a background check to be placed by the agency.*

Yes
I acknowledge that most families working with the agency are non-smoking households and that if I smoke cigarettes or vape tobacco, the agency might not be able to place me.*

Yes
Should be Empty:

Nanny Application Form

Work History