Nanny Application

Name:

First NameLast Name
Applying For
Birth Date

MonthDayYear
Phone Number:
Format: (000) 000-0000.
E-mail Address:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about us?
Are you eligible to work in the US?
Are you currently employed?
When can you start?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Days Available to Work: (Check all that apply)
Describe the hours you are available to work:
Upload Resume:

Upload a File
Upload your professional resume and cover letter. If the file is too big email it to info@cloud9nannies.com. Cancelof
Education
Do you have a High School degree?
High School/City
Do you have a college degree?
College and Degree
Highest level of degree obtained
Describe any other education experience:
Job Skills & Training
Describe your childcare skills:
Describe in a few sentences
Describe your personality:
Describe in a few sentences
What are your favorite activities to do with children?
Describe in a few sentences
Experience with Special Needs:
Do you have any physical or lifestyle limitations that would prevent you from being able to do you job?
Describe your comfort level and experience cooking for a family:
Do you have experience with mulitples?
If yes, describe your experience:
Are you CPR/First Aid Certified
Expiration Date of CPR/First Aid Certification:
What languages do you speak fluently?
Do you have a valid Drivers License?
Do you have a car?
Are you comfortable with pets?
Work History
1. Company/Family
Start Date
End Date
Reason for Leaving:
2. Company/Family
Start Date
End Date
Reason for Leaving:
Compensation
What is your required hourly rate?
Example $15-20/hr
References

Please list three (3) professional references that are familiar with your work life.
Reference 1
Name:

First NameLast Name
Phone Number:
Format: (000) 000-0000.
Relationship and years know/worked for them:
Reference 2
Name:

First NameLast Name
Phone Number:
Format: (000) 000-0000.
Relationship and years know/worked for them:
Reference 3
Name:

First NameLast Name
Phone Number:
Format: (000) 000-0000.
Relationship and years know/worked for them:
Should be Empty: