Family Connection Form
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Back
Next
What kind of support are you looking for? (Example: part-time nanny, full-time, STEM- focused care, travel help, household planner, etc.)
How old is your child/ children?
Do any of your children have special needs or medical considerations?
What are your children's interests or hobbies?
Back
Next
Days of the week needed:
M
T
W
TH
F
Sat
Sun
Hours needed per day
1-3
3-6
6+
Other
Start Date
ASAP
1-3 Weeks
1-3 Months
3+ Months
Will you need:
Late nights (past 7PM)
Early Mornings (before 8AM)
Weekend Care
Will you need help during school breaks or holidays?
Back
Next
Will you need the nanny to drive your children?
Will you provide a vehicle or will nanny need to have her own car?
Will you reimburse for gas/mileage?
Back
Next
Check if nanny will need to do:
School Pick up/ Drop off
Drive to Extracurriculars
Homework Help
Prepare Meals or Snacks
Bath/ Bedtime Routine
Light Housekeeping
Plan Playdates
Travel with Family
Back
Next
What is the hourly pay range?
Any benefits or perks of working with your family?
Back
Next
Minimum years of experience required?
1+
2+
3+
5+
Any dealbreakers or red flags we should avoid?
Submit
Should be Empty: