Family Application

Please fill out the application and we will contact you as soon as possible:

Name: *
Phone-home: *
Phone-cell:
Email:
Father's work place:
Father's work phone:
Mother's work place:
Mother's work phone:
Complete Address:*

Will your needs be:
Names and ages of children:*

Do you need:*
For live in, please describe living arrangements for nanny:

Hours needed: *
Days/Nights needed: *
Date you need nanny to start work: *
Salary: (per week or per hour)*
Benefits: Vacation pay, holidays, insurance, sick pay, etc.

Do you have any pets? (please specify)
Does anyone in your household smoke?
Are there any special needs that your child/children may require?

What skills and abilities are you looking for in a nanny?*

Describe a typical day for your child/children and their nanny:

What types of activities does your child/children enjoy?

Will the nanny be driving your child/children anywhere? (if yes, please explain)

Outside of childcare what other duties are you expecting from your nanny?

What are the education requirements you expect in your nanny?

Other information you would like us to know:

* required fields