Nanny Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.First Name *Last Name *Email Address *Phone Number *Date of birth *Are you authorized to work in the US? *YesNoWhat location / position are you applying for? *Where did you find our job posting? *What city and state do you live? *Do you plan on relocating in the next 12 months? *YesNoHow far are you willing to commute? *If there is a toll for your commute are you willing to pay this? *YesNoShort Biography *Tell us something about yourself that the family would find beneficial.What is your desired salary? *What is your ideal postion? *Full-time (32+ hours a week)Part-time (12-31 hours a week)On-callTemporaryWhat is your Availability? Please list the hours you are available, and any conflicts e.g. school/another job. *Do you attend school? If so please share your school and class schedule. *Is school in-person or on-line? *In-personOn-lineWhat year do you graduate? *What is your educational background? *Are you currently working? What is your last day of work? *Do you have a valid drivers license? *YesNoDo you have a reliable vehicle? *YesNoDo you feel comfortable transporting children in this vehicle? *YesNoIs this vehicle insured? *YesNoPlease list year, make and model of vehicle. *Is your social media public? If so, how do we find you? *Instagram, Facebook, Twitter, Snapchat, etc. Example: @TheNannyTribeDo you have any animal allergies or fears? *Do you have any health concerns we should know of? *Migraines, Back Pain, etc…Nanny ExperienceHow many years of professional in-home childcare experience have you acquired since turning 18? *Less than 1123-45-88+I have experience with? (Please select all that apply): *Newborn to 6 months6-12 Months12- 24 months2-5 years5-10 yearsMultiples (e.g twins, triplets)Children with special needsWorking in private daycarePreschool teacherECE UnitsPlease 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) *Part-Time NannyFull-Time NannyLive-In NannyLive-Out NannyNewborn Care SpecialistPrivate BabysittingAfter-school careDaycare CenterPreschool TeacherTeacherTutorDoulaPlease select all duties you are comfortable with: *Overnight CareDriving childrenCooking for childrenCooking for familyMeal preparationChildren’s laundryFamily’s laundryGrocery shoppingRunning errandsSwimming with childrenLight housekeepingTraveling with familyTutoringWork HistoryPlease start with most recent to oldest. Nanny Experience #1Family Name *Ages of children when started *What was your work schedule? *Please list exact schedule.List of job duties *Contact information for reference *Phone number andemail addressStart and End Date (Month and Year) *Why did you leave? *Nanny Experience #2Family Name *Ages of children when started? *What was your work schedule? *Please list exact schedule.List of job duties *Contact information for reference *Phone number and email addressStart and End Date (Month and Year) *Why did you leave?Nanny Experience #3Family Name *Ages of children when started? *What was your work schedule *Please list exact schedule.List of job duties *Contact information for reference *Phone number and email addressStart and End Date (month and Year) *Why did you leave? *Other Work Experience Related To ChildcareOther Work Experience #1Company Name *Job Title *List of job duties *Start and End Date (Month and Year) *Why did you leave? *Other Work Experience #2Company NameJob TitleList of job dutiesStart and End Date (Month and Year)Why did you leave?Please explain any gaps in employment *Addtional Nanny & Caregiver References *Please list first and last name, Their contact information. Please only include reference from work history above.Professional References *Please include the persons name, how you know them and their contact information. What are your strengths at being a nanny? *What extracurricular activities do you enjoy that would be beneficial for nanny placement? *ie. Sports, hiking, tutoring, arts/crafts, swim instructor, ect.What ages are you most confident caring for? *How long are you willing to commit to a family? *less than 1 year1-2 years2+ yearsWhy did you apply for this position? *Certifications *Pediatric CPR First Aid CertifiedTrustline RegisteredLive ScanMisc. certification related to childcareCertification Expiration Dates *Please list each certification and its expiration date.Do you speak fluent English? *What additional languages do you speak? *COVID-19 Vaccination Status *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 *YesNoOther Vaccines status *TBTDapFlu ShotVaccine status (Please list when you last were vaccinated and TB tested for above vaccines) *Please list each certification and its expiration date.Have you ever been convicted of a crime? If yes, please explain *Upload resume * Click or drag files to this area to upload. You can upload up to 5 files. Upload front and back of your drivers license * 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? *YesNoPlease list your availbity for an interview *Please list 3-4 dates and times. You will receive a text or email from our staff confirming your interview. Submit
