The BL!SS Nanny - REQUEST FORM

The BL!SS Nanny - Request Form

We understand that selecting the right nanny for your family is a significant decision. Our goal at TBN is to assist you in finding the ideal caregiver who matches your families needs, expectations, and preferences. To ensure we provide you with the best possible candidates, we kindly ask you to provide detailed information about your family and requirements.
Type of BL!SS Placement Desired:

Full Time Nanny - 12 Months, 25+ Hours Per WeekFull Time House Manager/ Nanny - 12 Months, 25+ Hours Per WeekPart Time Nanny - Less than 25 Per WeekTravel, Summer or Temp NannyPersonal BL!SS Assistant - VirtualPersonal BL!SS Assistant - Full Time 25+ Hours Per Week
Parent/Guardian 1 Name *

First NameLast Name
Parent/Guardian 1 Phone Number*

Area CodePhone Number
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian 2 Name *

First NameLast Name
Parent/Guardian 2 Phone Number*

Area CodePhone Number
Parent/Guardian 2 Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Method of Contact: (Phone, Email, Text, etc.)
Child/Children Information

Please know these details will be shared for interviewing purposes.
Number of Children*

Child Information*

	Name	Age	Allergies	Special Requirements	Interests & Hobbies
Child 1
Child 2
Child 3
Child 4
Child 5

Family Photo*

Browse Files

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May we use your family photo for the job listing?*
When would you like your placement to start?*

MonthDayYear
When would you like your placement to end?*

MonthDayYear
What days of the week do you need support?

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Approximate Number of Hours per Week*
Briefly describe a desired schedule*
Weekdays? Weekends? Afternoons? Mornings? Evenings?
What are your children’s daily routines that you would like support with?
For Assistant Positions please describe the role in detail.
Car/Driving Requirements*

Family car availableBliss Nanny/Assistant must use personal vehicleNo driving will be required
Travel Requirements*

May need to travel with usNo travel requiredNot sure
Sitter Vaccination Status Requirement*

Sitter should be vaccinatedNo Preference
What specific duties would you like the nanny/teacher/assistant to perform?*
Please note that grocery shopping, housekeeping, errands for parents falls under a house manager position*
Are there any specific interests or activities your children enjoy?*
Sports? Special outings? Crafting? Etc.
Nanny/Assistants Responsibilities

Describe your dream helper!
Be Specific* (age, gender, experience level)*
Briefly describe your dream Bliss Nanny/Assistant in regards to personality and presentation.
Would you like the Nanny/Assistant to help with homework, tutoring or weekly activity planning?*
.
Is driving required for the Nanny/Assistant in this role?*

YesNo
If yes, please detail the expectations.
Household Information
Are there any pets currently living in the house?*

YesNo
Pet Information
Will the nanny/assistant be expected to care for the pets?
Housekeeping Expectations*
Please tell us about any expectations or rules outside of standard childcare.
Additional Family Information and Considerations/ OR Household needs.
Please provide any family information that will be helpful for your placement search.
Compensation & Benefits

Please know that anything over 40 hours is paid time + half. Domestic home staff, by law must be paid hourly (not salary).
Compensation Details*
Briefly describe anticipated pay structure including rate details and potential benefits.
Please describe how/if you envision giving sick days or PTO. *
Do you have a current or former nanny we may contact?*

YesNo
Name of Current or Former Nanny
Phone Number or Email of Current or Former Nanny
Bliss Placement Agreement:

Please note that all Bliss Nanny candidates will have a full background check prior to hire.
A one on one phone call, Bliss bio, resume, and 3 references will be checked by the Bliss Family
Placement Coordinator before an in person interview is scheduled.
Initiation nonrefundable search fee to start is $400.
Families will be presented with all potential candidates based on matched credentials and family needs.
After hire, If a family is not satisfied with their nanny or the nanny is unhappy a free search and
replacement up to 6 months into 12 month placement.
Acknowledge that you have read and understand the Bliss Placement Agreement*

I Understand and Agree
Should be Empty:

The BL!SS Nanny - Request Form

Child/Children Information

Nanny/Assistants Responsibilities

Household Information

Compensation & Benefits