Nanny Application Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Birthdate * You must be over 21 to apply MM DD YYYY About You What position are you applying for? * Full Time Part Time How many years of experience do you have working with children? * Provides Age(s) Do you speak a second language? If so, which one? Do you have a high school diploma? * Yes No Do you have a valid driver's license and car insurance? * Yes No Do you own a car? Yes No Are you CPR certified? Yes No Desired hourly rate * $ Do you have verifiable work references? Yes No How many children are you comfortable caring for? Do you have any experience caring for children with special needs? Please check the duties you are comfortable helping family with: Laundry Light cleaning Running errands Please provide three references with phone numbers Are you vaccinated against COVID19? Yes No Thank you!
