Would you like a nanny? We can find you one. Choose to fill out a full version of the application form or a shorter, quick version. We'll be in touch soon!
Feb 16, 2019
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Personal Information: Parent 1
place of employment:
hours per week:
does your work require travel?
How often and for how long?
Personal Information: Parent 2
Family Personal Information (continued)
how many children do you currently have?
do other adults live in your home?
name of school (with days and hours):
does this child require special needs such as; health, behavior, emotional or academic concerns?
briefly describe each child's personality and development stage:
family activities and interests:
briefly describe the type of parents you are (easy-going, nervous, lenient, &c...):
would you describe your lifestyle as:
special observances? (i.e. diet, holidays, religious celebrations, &c...)
does anyone in your home smoke?
will you have a housekeeper in addition to your nanny?
do you have pets?
is the nanny required to feed/care for the pet(s)?
have you ever employed an in-home child care provider?
for how long?
what did you like or dislike about the person and experience?
applying for a nanny that is:
approximate start date:
if weekend hours, please describe:
preferred age range of nanny (select all that apply):
preferred languages spoken:
is driving required by the nanny?
is it acceptable for the nanny to commute to your home by train/bus?
which train/bus should she/he take to your home?
if applying for a live-in, please describe the living accommodations:
if applying for a live-in, is there a car available for the nanny to drive?
please describe authorized usage:
is cooking expected of the nanny?
other qualities important to you in a nanny:
describe, in detail, the nanny's responsibilities with your children:
describe, in detail, the nanny's housekeeping responsibilities:
please describe any additional requirements of a potential nanny that have not been specifically mentioned above:
will you be providing any additional benefits (i.e. health insurance, transportation costs, etc.):
how many paid vacation days will you offer the nanny?
when will vacation days be available to the nanny?
will you offer any sick and/or personal days? If yes, how many?
how did you hear about the agency?