Caregiver Application
Name
First Name
Middle Name
Last Name
Phone Number
E-mail
example@example.com
If applying for a specific position, list the job title here:
Total number of years experience in childcare:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
I meet the following requirements (check all that apply):
Passion for childcare & education
Professional Outlook
Knowledgeable about ages & stages
Stellar references
Pristine background
Reliable & prompt
Able to commit to job timeline
21+ years old
Clear driving record
Safe & ensured vehicle
Non-smoker
Can legally work in the U.S.
Current CPR/FA certification or willingness to renew
Are you 21 years of age or older?
Yes
No
Are you authorized to work In The United States?
Yes
No
Are you currently living in the Greater Seattle Area?
Yes
No
Where are you located?
Please list the neighborhood you reside in.
Do You Own A Car?
Yes
No
Do You Have A Drivers License?
Yes
No
Areas you are comfortable commuting to:
Distance Willing To Travel?
Please Select
Over 30 Mile Radius
Below 30 Mile Radius
Public Transit Only
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Employment Desired:
Date You Can Start
-
Month
-
Day
Year
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Salary Desired
Position Interested In (check all that apply):
Full Time
Part Time
Temporary
On Call
Experienced With:
Multiples
Special Needs
Allergies
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Skills/Qualifications:
Introduce yourself to a prospective employer by sharing a personal letter about your experience. Include qualities that make you an outstanding nanny and why you've chosen this profession:
Important Note: This is much more than a job to us. We are looking for caregivers that understand the significance of being welcomed into a family to nurture their children. Additionally, we highly value professional letters written with attention to detail (grammar, punctuation, etc.).
List three words that describe your personality:
What skills and experience do you have that are useful for nannying? Feel free to be as in depth as possible.
CPR/First Aid Certified?
Please Select
Yes
No
Willing to Get Certified
CPR/First Aid Expiration Date
-
Month
-
Day
Year
Name of CPR/FA instructor:
Phone number for CPR/FA instructor:
Can You Swim?
Please Select
Yes
No
List any additional health & safety trainings:
Anything else you would like to share:
OPTIONAL: Upload a recent photo of yourself (5MB or smaller gif, png, jpg, or jpeg file)
Browse Files
Drag and drop files here
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Education:
Highest Level of Education:
Please Select
High School
College
Graduate School
High School
Name of High School Attended
Graduated High School?
Please Select
Yes
No
College
Name of College/University Attended
Graduated College?
Please Select
Yes
No
Number of Years Attended College
College Area of Study/Degree
Graduate School
Name of Graduate School Attended
Graduated Grad School?
Please Select
Yes
No
Number of Years Attended
Area of Study/Degree
Trade School/Other
Name of Trade/Technical/Other School Attended
Graduated From Trade School?
Please Select
Yes
No
Number of Years Attended
Area of Study/Degree
List of other professional training:
i.e. STARS, NCS, Doula training, conference workshops, etc.
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Mandatory Job History
Current Employer Name
i.e. Name of Family
Current Employer Position
Your job title
Current Employer Salary
Current Employer Start Date
-
Month
-
Day
Year
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Current Employer Location
i.e. Neighborhood
Current Employer Children's Ages
Current Employer Duties
Please include an in-depth job description
Current Employer May We Contact?
Yes
No
Please explain why we may not contact your current employer:
Previous Employment
Previous Employer
i.e. Name of Family
Previous Employer Position
Your job title
Previous Employer Salary
Previous Employer Start Date
-
Month
-
Day
Year
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Previous Employer End Date
-
Month
-
Day
Year
Date Picker Icon
Previous Employer Location
i.e. Neighborhood
Previous Employer Children's Ages
Previous Employer Duties
Please include an in-depth job description
Previous Employer Reason for Leaving?
Previous Employer May We Contact?
Yes
No
Please explain why we may not contact your previous employer:
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References:
Please include at least three
May we contact your references?
Yes
No
Reference One
Name of Reference
Reference One Relationship
Reference One Years Acquainted
Reference One Phone
Reference Two
Name of Reference
Reference Two Relationship
Reference Two Years Acquainted
Reference Two Phone
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Cover Letter & Resume:
Please Upload Your Cover Letter
Upload a File
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Choose a file
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Please Upload Your Resume
Upload a File
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Choose a file
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Acknowledgement
I have uploaded my resume. Without a resume, I understand that my application may not be considered.
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