Nanny Family Application Step 1 of 7 14% Date Date Format: MM slash DD slash YYYY Family NamePhoneEmail What area do you live in?How did you hear about us?* Parents Name First Last OccupationCompany NameParents Name First Last OccupationCompany Name Child's NameAgeInterests:Any special needs or allergies?Child's NameAgeInterestsAny special needs or allergies?Child's NameAgeInterestsAny special needs or allergies?Have more then 3 kids? Add their info here! Tell us about your family: (Are you low key? Like the outdoors? On the go? Ect)What is your parenting style? What are some words you would use to describe your ideal Nanny: (Other then reliable, loves kids ect because we have that covered 😊)Age rage preferred? Is it flexible?How long would you like a Nanny?When is your ideal start date? Is it flexible?What is your minimum number of hours needed per week?Desired weekly schedule: (please be as specific as possible)Example: M-F 8am-5pmWhat other tasks would you like your Nanny to help with? Laundry (wash, dry fold, for the family) Dishes Errands Grocery Shopping Driving Activity planning for the children Meal planning Choose all that apply!Do you have Nanny Cams? If so how many? (Please read our Policy handbook regarding these. You can find the handbook on our website under “Current Clients”.)Do you travel often? Would you want your Nanny to travel with you?Do you have pets? If so what kinds? Have you ever had a Nanny before?If so how many?Please list the duration of each Nanny and why the relationship ended. Please list a reference:We highly screen and train all of our Nannies and want to match them with quality families, please include at least one reference of either a past nanny or a character reference of another family. Please upload a recent family picture:Nanny Matching Fee Price: $250.00 Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name
