Caregiver Application Form

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Welcome to the Nanny Registry!

Welcome to the Nanny Registry!

We’re so glad you’re here.The Nanny Registry is a boutique placement agency connecting families with experienced nannies, family assistants, and household professionals. This application allows us to learn more about you and the roles you’re seeking so we can make thoughtful matches.

19Questions

1
Full Name* This field is required.
First Name
Last Name
2
Email Address* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
Which position(s) are you applying for?* This field is required.Select all that apply.
Nanny (Full-time Childcare)
Babysitter (On-call Childcare)
Family Assistant
Housekeeper
Other
5
What is your preferred work arrangement?* This field is required.
Live-in
Live-out
Either
6
What type of schedule are you seeking?* This field is required.
Full-time
Part-time
Occasional/On-call
Temporary/Short-term
7
Are you legally authorized to work in this country?* This field is required.
Yes
No - I need a work permit.
8
Ideal Start Date* This field is required.
Date
Month
Day
Year
9
Please describe your relevant experience (including years of experience, types of families or homes, and duties performed).* This field is required.
10
Check all that apply
Infant care
School drop-off/pick-up
Meal prep
Light housekeeping
Household organization
Errands
Calendar management
Travel support
Laundry
Pet care
11
What age groups are you most experienced with?* This field is required.
Infants (0-1 year)
Toddlers (1-3 years)
Preschool (3-5 years)
School Age (6-12 years)
Teenagers (13-18 years)
Other
12
Do you have any of the following certifications?* This field is required.
CPR Certification
First Aid Certification
Childcare Certification
None of the above
Other
13
What languages do you speak?* This field is required.
English
Hatian Creole
Spanish
Filipino
Other
14
Please provide three professional references (name, relationship, and contact information)* This field is required.
Reference 1
Reference 2
Reference 3
15
What do you enjoy most about working with families?* This field is required.
16
Upload a Headshot* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
Cancelof
17
Upload your resume or relevant documents (optional)
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
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18
Desired hourly rate or salary range* This field is required.
19
What makes you stay long-term in a role?* This field is required.
Should be Empty:

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