Childcare Provider Application

Childcare Provider Application
LET'S GET STARTED! Once we review your responses, a member of our team will reach out to you via e-mail to schedule an over-the-phone appointment to discuss the information you provided and next steps.

Let's get to know YOU!

Let's get the basics out of the way. Help us get a feel for who you are!
Name*

First NameLast Name
Phone number:*
Please enter a valid phone number. By providing your phone number, you agree to receive Conversational messages from The Nanny Standard, LLC. Reply STOP to opt-out; Reply HELP for support; Message & data rates may apply; Messaging frequency may vary. Visit the links below to review our Privacy Policy and our Terms and Conditions.
Email*
example@example.com
Terms and Conditions
Privacy Policy
Are you eligible to work in the U.S.?*

YesNo
Do you have a valid driver's license?*

YesNo
Which position(s) are you interested in? (check all that apply)*

PermanentTemporaryFull TimePart TimeLive-in

Tell us about your level of Education:
Education levels achieved (check all that apply)*

High School DiplomaCollege- Associate's DegreeCollege- Bachelor's DegreeCollege- Master's DegreeTrade/Vocation SchoolOther
Name of School (High School)*
Name of School (College- Associate's)
Name of School (College- Bachelor's)
Name of School (College- Master's or Higher)

Please let us know if you have the following:
Do you have a valid CPR/First Aid Certification? (check all that apply)*

CPRFirst AidPediatric CPRPediatric First AidI will obtain First Aid and CPR (preferably PEDIATRIC) certification before my first day of employment and understand that I will be reimbursed by the Agency within 30 days of being placed with a family.

Childcare-Specific Experience (MIN. 2)

You MUST have 2 verifiable childcare references to be considered for placement with a client family of The Nanny Standard LLC. If you don't have 3 childcare-specific references, please use the next section to share any work experience that taught you valuable skills which apply in a household setting.
Childcare Position 1 Title*
(Nanny, babysitter, camp counselor, personal assistant)
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Childcare Position 1 Experience*
Include job description, ages and quantity of children cared for.
Childcare Position 2 Title*
(Nanny, babysitter, camp counselor, personal assistant)
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Childcare Position 2 Experience*
Include job description, ages and quantity of children cared for.
Childcare Position 3 Title
(Nanny, babysitter, camp counselor, personal assistant)
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Childcare Position 3 Experience
Include job description, ages and quantity of children cared for.

Other Work Experience
Non-childcare related Position 1 Title (Required if previous section only has 2)
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Non-childcare related Position 1 Description (Required if previous section only has 2)
Include job description and any pertinent details.
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Non-childcare related Position 2 Title (Skip if N/A)
Non-childcare related Position 2 Description (Skip if N/A)
Include job description and any pertinent details
Non-childcare related Position 3 Title (Skip if N/A)
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Non-childcare related Position 3 Description (Skip if N/A)
Include job description and any pertinent details

Character References (2 Required)

These are NON-PROFESSIONAL references
REFERENCE # 1 Name*

First NameLast Name
REFERENCE # 1 Relationship to you*
(Friend, Family Member, Pastor, Neighbor, etc.)
REFERENCE # 1 Phone Number*
Please enter a valid phone number.
REFERENCE # 1 Email*
example@example.com
REFERENCE # 2 Name*

First NameLast Name
REFERENCE # 2 Relationship to you*
(Friend, Family Member, Pastor, Neighbor, etc.)
REFERENCE # 2 Phone Number*
Please enter a valid phone number.
REFERENCE # 2 Email*
example@example.com

Childcare References (2 Required)

These are PROFESSIONAL references from your childcare-related experience.
Childcare Reference # 1 Name (please list only your direct employer/supervisor)*

First NameLast Name
Position Held with Childcare Reference # 1*
(Babysitter, Nanny, Mother's Helper, Au Pair, Household Manager, etc.)
Childcare Reference #1 Phone*
Please enter a valid phone number.
Childcare Reference #1 Email*
example@example.com
Childcare Reference # 2 Name (please list only your direct employer/supervisor)*

First NameLast Name
Position Held with Childcare Reference # 2*
(Babysitter, Nanny, Au Pair, Household Manager, etc.)
Childcare Reference #2 Phone*
Please enter a valid phone number.
Childcare Reference #2 Email*
example@example.com

WE APPRECIATE THAT YOU'VE MADE IT THIS FAR!

We want to ensure that just as hard as we work to ensure a safe and rewarding workplace for quality candidates such as yourself, we are also doing our due diligence to present accurate information in front of families who are looking to hire people they can trust. Thank you in advance for the accuracy and effort in your responses. On this page you will find our Agency and Candidate Agreement form. Please take the time to familiarize yourself with it and reach out to contact@nannystandard.com with any questions before signing. We look forward to exceeding your expectations and to finding placement for you in a career you'll enjoy for years to come. You'll hear from us via email very soon! - The Nanny Standard LLC
Please type your legal name as it will appear on your ID documents*
Date*

MonthDayYear
Date
By submitting this form, you are expressing interest in job placement facilitated by The Nanny Standard, LLC and are attesting to the accuracy and truthfulness of your answers. *

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Let's get to know YOU!