Caregiver Employment Application
Share your contact details, availability, experience, and references—applications are accepted year-round.
Applicant Contact Information
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City and State
*
Preferred Contact Method
*
Email
Phone
Text Message
Availability and Scheduling
Days Available
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Shift Availability
*
Day Shift
Night Shift
Weekend Shifts
Holiday Shifts
Preferred Hours per Week
*
Earliest Start Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Willingness to Travel
*
Yes
No
Sometimes
Experience and Qualifications
Years of childcare experience
*
Experience with newborns/infants
*
Yes
No
Ages of children cared for
*
Infant (0–12 months)
Toddler (1–3 years)
Preschool (4–5 years)
School-age (6–12 years)
Teen (13+ years)
Other
Experience with sleep support or overnight care
Yes
No
Highest level of education completed
Please Select
High school diploma
Associate degree
Bachelor’s degree
Master’s degree
Doctorate
Other
Current certifications and credentials
CPR certified
First Aid certified
Infant CPR certified
Child Development Associate (CDA)
Early Childhood Education credential
Other
CPR/First Aid certification expiration date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Resume upload
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Short-Answer Questions
Why do you want to join Cuddles & Care Nanny Service?
*
Describe your approach to infant safe sleep and responding to emergencies.
*
How do you handle parent instructions and maintain confidentiality?
*
Are you comfortable working in a fragrance-free workplace and wearing a professional uniform?
*
Yes
No
Yes, with reasonable accommodation
Other
Work Readiness
Do you have reliable transportation for this role?
*
Yes
No
If selected, are you willing to complete job-related background and reference checks?
*
Yes
No
Professional References
Reference 1 Full Name
*
First Name
Middle Name
Last Name
Reference 1 Relationship
*
Reference 1 Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 1 Email
example@example.com
Reference 2 Full Name
*
First Name
Middle Name
Last Name
Reference 2 Relationship
*
Final Acknowledgment
Consent to Be Contacted
*
Phone
Email
Text message
Other
Applicant Signature
*
Thank you for your interest in joining Cuddles & Care. We will contact selected applicants as opportunities arise.
Thank you for your interest in joining Cuddles & Care. We will contact selected applicants as opportunities arise.
Should be Empty: