HPG INTAKE FORM

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OUR REQUIRMENTS FOR EMPLOYMENT

ABILITY TO PASS OUR SECURITY TRAINING AS WELL AS AN INTRODUCTION TO EXECUTIVE PROTECTION (VIRTUAL OR IN PERSON)

MUST PASS OUR HPG CREDIT, CRIMINAL, SEX OFFENDER AND NATIONAL BACKGROUND CHECKS. CLIENT DEPENDENT, ADDITIONAL BACKGROUND CHECKS WILL TAKE PLACE

BA/BS COLLEGE DEGREE | AA IN RELATED FIELD OF STUDY (preferreed but not required)

CPR/FIRST AID CERTIFICATION (RENEW AS NEEDED)

ABILITY TO MAKE A ONE-YEAR COMMITMENT UNLESS APPLYING FOR A TEMPORARY POSITION

A PASSION FOR WORKING WITH CHILDREN

TWO+ YEARS CHILDCARE EXPERIENCE

EXCELLENT WORK AND PERSONAL REFERENCES

U.S. DRIVER’S LICENSE (THIS DOES NOT APPLY TO NYC RESIDENTS)

COMPETENT SWIMMER (NOT MANDATORY UNLESS REQUIRED BY CLIENT)

NON-SMOKER

NO-CELL PHONE DRIVING SIGNED GUARANTEE

MUST BE ELIGIBLE TO WORK IN THE U.S.

- Sample Resume must be uploaded within this same format (Sample Resume)
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Name* This field is required.
First Name
Last Name
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Age
4
Current job* This field is required.
5
Current student?* This field is required.
Please Select
Please Select
Yes
No
6
Marital status* This field is required.
7
Do you have children?
Yes
No
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Educational background* This field is required.
Please specify high school diploma or GED, and any college degrees.
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Contact E-mail* This field is required.
example@example.com
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Mother language and additional languages* This field is required.
Please let us know your first language and if you speak other languages fluently.
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Do you smoke, consume marijuana, or vape?* This field is required.
Please Select
Please Select
No to all
Yes, more than one
Yes, more than two
Yes, smoking only
Yes, marijuana only
Yes, vaping only
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Do you suffer from any allergies?* This field is required.
Food, pets, nature, etc.
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Do you have any medical conditions that can affect your ability to handle the demands of a childcare position?* This field is required.
If yes, please provide detail.
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Have you receive tuberculosis testing clearance?* This field is required.
Please Select
Please Select
Yes
No
No, but I am willing to get tested.
15
Please list your vaccine history * This field is required.
Please include dates for any of the following you have received: tetanus-diptheria-pertussis/whooping cough, flu, MMR, chicken pox/varicella, Hepatitis A, Hepatitis B, Meningococcal. If no vaccines, please write "none".
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Do you have a valid driver's license?* This field is required.
Please Select
Please Select
Yes
No
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Do you have a reliable form of transportation for commuting to work? * This field is required.
Please Select
Please Select
Yes
No
Can include car, public transport, etc.
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If you have a car, do you have insurance?* This field is required.
Please Select
Please Select
Yes
No
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Are you looking for a position that allows you to bring your child to work? * This field is required.
Please Select
Please Select
Yes
No
Not applicable
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Have you worked as a nanny with your own child in a previous role?* This field is required.
Please Select
Please Select
Yes
No
Not applicable
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Are you ok with HPG performing a full background check (i.e. criminal, credit, driving, certification/license, etc.)?* This field is required.
Please Select
Please Select
Yes
No
Not applicable
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What type of childcare job are you looking for?* This field is required.
Part-time, full-time, short-term, long-term, occasional
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How far from home would you be prepared to travel to work?* This field is required.
Please give an approximate measure in hours or miles.
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Would you be willing to travel within the us or internationally?* This field is required.
Please Select
Please Select
Yes
No
Unsure, more explanation needed.
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Availability* This field is required.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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Would you be willing to work occasional weekends?* This field is required.
Please Select
Please Select
No
Yes, not a full day
Yes, a full day
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What hours would you like to ideally work?* This field is required.
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Are your hours flexible?* This field is required.
Please Select
Please Select
Yes
No
Somewhat, more explanation needed.
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What is your ideal childcare job?* This field is required.
Please include any relevant details including number of children, live-in/live-out situation, age of children, daily activities, etc.
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Would you be willing to work occasional date nights?* This field is required.
Please Select
Please Select
Yes
No
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How many years of experience do you have working with children?* This field is required.
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What are your formal childcare qualifications?* This field is required.
Please include any of the following: CPR, First Aid, water safety training, certificates, classes, degrees, etc.
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Experience* This field is required.
Newborn
Toddlers (1-3 years)
Infants (up to 1 year)
Twins / Multiples
Children with disabilities
Children 3+ years
Children 5 years and up
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Additional skills
Cooking/baking
Crafting
Swimming
Yoga
Gymnastics
Gardening
Other
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If you selected "other" please share your additional skills.
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Gross salary expectation (hourly)* This field is required.
Please list a range of two numbers (x-x) or a set number (x) in USD$
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Earliest start date
Date
Month
Day
Year
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Please tell us about your last childcare position* This field is required.
Please briefly describe your duties, number of children, ages of children, and live-in/live-out situation.
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Did you perform any of the following duties in your role: housework, pet care, and meal preparation?* This field is required.
If yes to any, please describe in brief detail. If no, please write "n/a".
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Employer's contact number
Please enter a valid phone number.
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Employer's email address
example@example.com
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Can we contact this employer for a reference?* This field is required.
Please Select
Please Select
Yes
No
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Employer 2 (childcare preferred but not required)* This field is required.
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Job title* This field is required.
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Duties* This field is required.
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Start Date
Date
Month
Day
Year
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End Date
Date
Month
Day
Year
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Start / end date* This field is required.
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Reasons employment ended
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Additional information about this position
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Employer's contact number
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Employer's email address
example@example.com
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Can we contact this employer for a reference?* This field is required.
Please Select
Please Select
Yes
No
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Additional information
Please use this space for anything else you would like us to know.
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Document UploadPlease upload your CV, Resume, Certifications, Licenses, Degrees (if applicable). Sample resume format attached.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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