Nannies On Board Application Form
Please fill out the following sections and let us know if you have any questions or concerns about the application!
Child #1
First Name
Last Name
Gender
Date of Birth
-
Month
-
Day
Year
Date
Child #2
First Name
Last Name
Gender
Date of Birth
-
Month
-
Day
Year
Date
Child #3
First Name
Last Name
Gender
Date of Birth
-
Month
-
Day
Year
Date
Child #4
First Name
Last Name
Gender
Date of Birth
-
Month
-
Day
Year
Date
Do your children have any medical issues or neurodiversity we should be aware of? This could include any challenging behaviours or other concerns.
Do you require care for all of your children or only some of them?
Primary Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Guardian
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Guardian
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
When would you like a nanny to start?
Ideal length of commitment?
What kind of support do you need?
Please Select
Full Time
Part Time
Casual/Ad hoc
Unsure
Do you require transportation of your children?
Yes
No
Unsure
If yes to above, do you have a vehicle that the nanny could use?
Yes
No
Maybe
Are there any pets in the home?
What is your primary reason for hiring a nanny?
Need at extra set of hands to help while I am at home
Need time to myself
Working from home
Working out of the home
Travelling
How many hours/week are you looking for?
Desired Hours
Rows
Morning
Afternoon
Evening
Overnight
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What tasks would you like support with?
Childcare
Light housekeeping
Meal prep
Housecleaning
Cooking
Family's laundry
Children's laundry
Baking
Have you hired a nanny before?
Yes
No
If yes, was it a positive experience?
How did you hear about Nannies On Board?
Please Select
Advertising
Google
Friend/Family
Facebook
Instagram
Other
Would you like to be added to our email list?
Count me in!
No thanks
Submit
Should be Empty: