Family Application Parent's Name * First Name Last Name Parent's Name #2 If applicable First Name Last Name Phone (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Child's Information Position Needed * Full Time (40 hours) Part Time (25-35 hours) Number of children: Child's Name(s) & Gender * Child's Age(s) * Allergie(s)? If not applicable, please enter N/A Duties & Benefits Pay Rate Offer * $ Are you interested in a bilingual nanny? * Yes No Maybe Benefits provided for nanny * Health insurance Paid vacation (two weeks for full time) Paid holidays None of the above Number of Sick Days Number of Vacation Days Does nanny need car or will one be provided? Yes - car will be needed No - car will be provided Are you looking for a nanny who will help with: Laundry Light cleaning Running errands Do you prefer a nanny to be vaccinated against COVID19? Yes No Thank you for your application!
