Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you at least 21 years of age?
*
Yes
No
What Type of Position would you like?
*
Full-time Babysitter
Part-Time Babysitter
Live Out Nanny
Live In Nanny
EXPERIENCES
Please tell us about your childcare experience.
*
Do you have 1 year or more of infant care experience?
*
Yes
No
What level of education do you have?
*
High School
Some College
Bachelors Degree
Masters Degree
PhD
Teaching Qualification
Do you have experience working with children with special needs?
*
Yes
No
Do you speak other languages?
*
Yes
No
Other Languages
LOGISTICS
A car is not required, but we would like to know if you have one.
Do you have a car?
*
Yes
No
Do you have a valid driver's license?
*
Yes
No
Are you comfortable working in a home with pets?
*
Yes
No
SCHEDULE AVAILABILITY
Are you available to work in the daytime?
*
Yes
No
Are you available to work in the evenings?
*
Yes
No
REFERENCES
We require three professional childcare references before we can place you with a family. To help speed up your application process, you’re welcome to provide them now. We will only contact your references after your interview and with your permission. If you don’t have the details ready now, you can provide them later in the process — but submitting them upfront helps us move things along much faster.
References Name
E-mail
example@example.com
Phone Number
-
Country Code
-
Area Code
Phone Number
Reference’s relationship to you
How long were you at this position?
Please describe the circumstances under which this person has observed you with children:
References Name
E-mail
example@example.com
Phone Number
-
Country Code
-
Area Code
Phone Number
Reference’s relationship to you
How long were you at this position?
Please describe the circumstances under which this person has observed you with children:
References Name
E-mail
example@example.com
Phone Number
-
Country Code
-
Area Code
Phone Number
Reference’s relationship to you
How long were you at this position?
Please describe the circumstances under which this person has observed you with children:
ADDITIONAL INFORMATION
Were you referred by someone?
Is there anything else you would like to mention regarding your application?
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