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Parents Application
Nanny Placement
*What Type of Placement are you looking for?
-Select a choice-
Temporary Placement
Permanent Placement
Family Information
*Family Name
*Contact Person
*Phone Number
*Street Address
*City, State & Zip
*Email
*Names and Ages of Children
Nanny Details
*Live In or Live Out Nanny?
-Select a choice-
Live In
Live Out
*Have you Employed Nannies in the past?
-Select a choice-
Yes
No
*What is your Anticipated Nanny Schedule?
*Specific Nanny Responsibilities
Minimum Education Requirements
-Select a choice-
H.S. Diploma
Associates Degree
Bachelor's
Masters
All of our Nanny Referrals must have a minimum of 3 years Related Experience and First Aid/CPR for infants and children. Do you have any additional Nanny Requirements?
*Will your Nanny be taking on any Domestic Work in the home? (Please Note: Too many 'chores' in the home, in addition to childcare, is the main reason Nannies leave their positions.)
*Do you currently employ a Housekeeper?
-Select a choice-
Yes
No
*What are the minimum hours required for your Nanny?
*Will your Nanny be required to Drive during work hours?
-Select a choice-
Yes
No
Will a car be provided for your Nanny?
-Select a choice-
Yes
No
*Will you require your Nanny to Travel?
-Select a choice-
Yes, Domestically
Yes, Domestic & Int'l
No
Nanny Wages
*What is the Hourly Wage you are prepared to offer your Nanny?
*What is the approximate Gross Weekly Salary you are prepared to offer your Nanny?
*Benefits you are willing to offer your Nanny? (i.e. Medical Ins., Dental Ins., Paid Vacation, Holiday Pay, Salary, etc.)
Additional Information
*Preferred time to reach you?
*Payment Method
*Any additional comments?
*How did you hear about us?