Nanny Placement Request Form
Thank you for choosing Aspen Babysitting & Nanny Co. Please complete the form below to help us learn more about your family and the type of nanny you’re looking for.
Parent/Guardian Information
Parent 1
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Parent 2
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Children's Information
For each child, please provide the following:
*
Age
Birthdate
Allergies / Medical Conditions / Special Needs
Favorite activities:
Child 1
Child 2
Child 3
Child 4
Child 5
Nanny Role & Responsibilities
Describe a typical day with the nanny:
Duties expected:
Childcare only
Meal prep for kids
Light housekeeping
Driving to/from activities
Homework help
Pet care
Occasional evenings/overnights
Laundry for kids
Other
If 'Other', please specify:
Any additional expectations, routines, or household dynamics the nanny should know about:
Nanny Preferences
Qualities you're looking for:
Preferred Age Range of Nanny:
Preferred Experience Level:
(e.g., 2+ years, infant experience, special needs, multiples, etc.)
Any language preferences?
Anything else we should know to help us make the best match?
Schedule & Duration
Preferred Start Date:
-
Month
-
Day
Year
Date
Days & Hours Needed:
Compensation & Benefits
Hourly Rate or Weekly Salary Range Offered:
Do you offer:
*
Guaranteed Weekly Hours
Paid Time Off/Sick Days
Paid Holidays
Health Insurance Stipend
Not Sure
None
Will a nanny vehicle be provided?
Yes
No
Submit
Should be Empty: