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Candidate Application
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First Name
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Last Name
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Email Address
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Phone Number
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Date of birth
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Are you authorized to work in the US?
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Yes
No
What location / position are you applying for?
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Where did you find our job posting?
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What city and state do you live?
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Do you plan on relocating in the next 12 months?
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Yes
No
How far are you willing to commute?
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If there is a toll for your commute are you willing to pay this?
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Yes
No
Short Biography
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Tell us something about yourself that the family would find beneficial.
What is your desired salary?
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What is your ideal postion?
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Full-time (32+ hours a week)
Part-time (12-31 hours a week)
On-call
Temporary
What is your Availability? Please list the hours you are available, and any conflicts e.g. school/another job.
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Do you attend school? If so please share your school and class schedule.
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Is school in-person or on-line?
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In-person
On-line
What year do you graduate?
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What is your educational background?
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Are you currently working? What is your last day of work?
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Do you have a valid drivers license?
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Yes
No
Do you have a reliable vehicle?
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Yes
No
Do you feel comfortable transporting children in this vehicle?
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Yes
No
Is this vehicle insured?
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Yes
No
Please list year, make and model of vehicle.
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Is your social media public? If so, how do we find you?
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Instagram, Facebook, Twitter, Snapchat, etc. Example: @TheNannyTribe
Do you have any animal allergies or fears?
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Do you have any health concerns we should know of?
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Migraines, Back Pain, etc...
Nanny Experience
How many years of professional in-home childcare experience have you acquired since turning 18?
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Less than 1
1
2
3-4
5-8
8+
I have experience with? (Please select all that apply):
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Newborn to 6 months
6-12 Months
12- 24 months
2-5 years
5-10 years
Multiples (e.g twins, triplets)
Children with special needs
Working in private daycare
Preschool teacher
ECE Units
Please note that experience gained under the age of 18, caring for siblings, family members, or babysitting, do not qualify as professional experience.
What types of positions have you held? (Please note we will ask you for deatails of these postions below)
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Part-Time Nanny
Full-Time Nanny
Live-In Nanny
Live-Out Nanny
Newborn Care Specialist
Private Babysitting
After-school care
Daycare Center
Preschool Teacher
Teacher
Tutor
Doula
Please select all duties you are comfortable with:
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Overnight Care
Driving children
Cooking for children
Cooking for family
Meal preparation
Children's laundry
Family's laundry
Grocery shopping
Running errands
Swimming with children
Light housekeeping
Traveling with family
Tutoring
Work History
Please start with most recent to oldest.
Nanny Experience #1
Family Name
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Ages of children when started
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What was your work schedule?
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Please list exact schedule.
List of job duties
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Contact information for reference
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Phone number andemail address
Start and End Date (Month and Year)
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Why did you leave?
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Nanny Experience #2
Family Name
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Ages of children when started?
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What was your work schedule?
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Please list exact schedule.
List of job duties
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Contact information for reference
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Phone number and email address
Start and End Date (Month and Year)
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Why did you leave?
Nanny Experience #3
Family Name
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Ages of children when started?
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What was your work schedule
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Please list exact schedule.
List of job duties
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Contact information for reference
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Phone number and email address
Start and End Date (month and Year)
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Why did you leave?
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Other Work Experience Related To Childcare
Other Work Experience #1
Company Name
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Job Title
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List of job duties
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Start and End Date (Month and Year)
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Why did you leave?
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Other Work Experience #2
Company Name
Job Title
List of job duties
Start and End Date (Month and Year)
Why did you leave?
Please explain any gaps in employment
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Addtional Nanny & Caregiver References
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Please list first and last name, Their contact information. Please only include reference from work history above.
Professional References
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Please include the persons name, how you know them and their contact information.
What are your strengths at being a nanny?
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What extracurricular activities do you enjoy that would be beneficial for nanny placement?
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ie. Sports, hiking, tutoring, arts/crafts, swim instructor, ect.
What ages are you most confident caring for?
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How long are you willing to commit to a family?
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less than 1 year
1-2 years
2+ years
Why did you apply for this position?
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Certifications
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Pediatric CPR First Aid Certified
Trustline Registered
Live Scan
Misc. certification related to childcare
Certification Expiration Dates
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Please list each certification and its expiration date.
Do you speak fluent English?
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What additional languages do you speak?
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COVID-19 Vaccination Status
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Vaccinated in the last 12 months (Willing to maintain)
Unvacinated (Willing to become)
Unvacinated (Unwilling to get vaccinated)
Are you willing to wear a mask while working
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Yes
No
Other Vaccines status
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TB
TDap
Flu Shot
Vaccine status (Please list when you last were vaccinated and TB tested for above vaccines)
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Please list each certification and its expiration date.
Have you ever been convicted of a crime? If yes, please explain
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Upload resume
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Click or drag files to this area to upload.
You can upload up to 5 files.
Upload front and back of your drivers license
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Click or drag files to this area to upload.
You can upload up to 2 files.
Do you give us permission to run a background check?
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Yes
No
Please list your availbity for an interview
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Please list 3-4 dates and times. You will receive a text or email from our staff confirming your interview.
Submit