Nanny Application

Our unique agency will help you find the perfect match for you and your family. Whether you’re a family searching for the right caregiver to look after your children or you’re a nanny looking for that special family, we’ll give you all the information needed to find your perfect match.

Personal Information

First name

Last name

Street Address

City

State

Zip

How long have you lived at your current address?

If less, than two years, please list previous address

Best Contact Phone Number

Transportation

Do you have a Drivers License?

Drivers License Number

Issuing State of Drivers License

Do you own a car? If yes, Make and Model

Preferences & Availability

Desired Hours

Desired Locations:

Desired Hourly Wage:

Date Available to start

Please list your availability

Are you able to make at least a one year commitment?

Do you have flexibility in your schedule?

Are you available to extended stays, such as overnights?

Employment History

Employer #1

Current or most recent employer name

Start Date

End Date

Contact Number

Contact Email

Are you still employed?

Please describe your responsibilities

Reason for Leaving

Employer #2

Employer Name

Start Date

End Date

Contact Number

Contact Email

Please describe your responsibilities

Reason for Leaving

Employer #3

Employer Name

Start Date

End Date

Contact Number

Contact Email

Please describe your responsibilities

Reason for Leaving

Employer #4

Employer Name

Start Date

End Date

Contact Number

Contact Email

Please describe your responsibilities

Reason for Leaving

Employer #5

Employer Name

Start Date

End Date

Contact Number

Contact Email

Please describe your responsibilities

Reason for Leaving

Personal References

Reference #1

Name

Contact Phone Number

Relationship

Years Known

Reference #2

Name

Contact Phone Number

Relationship

Years Known

Reference #3

Name

Contact Phone Number

Relationship

Years Known

Reference #4

Name

Contact Phone Number

Relationship

Years Known

Education Information

High School Attended

City

State

Year Graduated

Experience and Qualifications

Are you CPR certified?

Can you swim?

What languages do you speak?

List your hobbies and interests

What do you like most about being a nanny?

What are your strengths?

What are your weaknesses?

Describe your personality

Describe your ideal nanny family

Are you OK with pets?

What are some of your favorite activities to do with children?

Let us know how we can help

Our unique agency will help you find the perfect match for you and your family. Whether you're a family searching for the right caregiver to look after your children or you're a nanny looking for that special family, we'll give you all the information needed to find your perfect match.