The Nanny Joynt Family Application

1
What type of caregiver are you seeking?* This field is required.
Professional Nanny
Nanny-Household Manager
Household Manager
Personal Assistant
Newborn Care Specialist
Temporary Nanny
Senior Companion Care
Babysitter
2
Parent 1: Name* This field is required.
First Name
Last Name
3
Parent 2: Name
First Name
Last Name
4
Email* This field is required.
example@example.com
5
Spouse's Email
example@example.com
6
Cell Phone Number* This field is required.
7
Address* This field is required.
Street Address
Street Address Line 2
City
State
Zip Code
United States
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
8
Major Crossroads* This field is required.
9
Parent Occupation
10
Spouse's Occupation
11
What is the ideal start date?* This field is required.
Date
Month
Day
Year
12
What is the preferred work schedule for the caregiver you are seeking? * This field is required.Please indicate the desired days of the week and specific hours for each day
13
What hourly rate are you comfortable offering to the caregiver you wish to hire?* This field is required.The caregivers we work with typically have hourly rates ranging from $28 to $45+ per hour. This reflects their experience, skills, and the high-quality care they provide. We're committed to fair and legal compensation (W2) to attract and retain top talent.
14
Please describe the key characteristics you look for in a caregiverShare the qualities and skills that are most important to you in a caregiver. Consider attributes and other traits that would best support your family’s needs.
15
How many children require care?* This field is required.
Please Select
Please Select
0
1
2
3
4
5
16
Child One Name
First Name
Last Name
17
Child One Date of Birth
Date
Month
Day
Year
18
Child Two Name
First Name
Last Name
19
Child Two Date of Birth
Date
Month
Day
Year
20
Child Three Name
First Name
Last Name
21
Child Three Date of Birth
Date
Month
Day
Year
22
Other Children's Name and Date of Birth
23
Have you ever employed a nanny or household employee before?* This field is required.
YesNo
24
Are you willing to pay your caregiver as a W2 employee?* This field is required.The Nanny Joynt requires all families to pay legally via W2 payroll to ensure compliance with IRS guidelines and protect both families and caregivers.
Yes
No
I’m not sure — I’d like more information
25
Will you be offering guaranteed weekly hours?* This field is required.This ensures stability for your caregiver and sets the foundation for a long-term, professional relationship.
Yes
No
I’m not sure — I’d like more information
26
Where did you hear about The Nanny Joynt?* This field is required.
Google/ Web Search
Events
Parenting Groups
Referral
Social Media Platforms (e.g. Facebook Groups, Instagram, LinkedIn, etc.)
27
What is the name of the Parenting Group?* This field is required.
28
We'd love to hear any additional information you'd like to share about your family or your childcare/household staffing needs.
29
If you were referred to us by a friend, please tell us their name so we may send them our thanks!* This field is required.
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