Parent Application Form

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Parent's
Application Form

Nanny's
Application Form

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Parent's Application:

Fill all the fields and Submit this Application.
Thank You.

Date:

Mother's Name: Occupation:

Father's Name: Occupation:

Nationality:

Home Address:

City: Zip:

Country:

Phone: Fax:

E-Mail Address:

Child's Age(s): Gender:

NANNY POSITION INFORMATION:

Full-Time: Part-Time: Full-Time Live-In: Summer:

(Mommy Nanny's bring their child and earn a lower salary):

Full-Time Mommy Nanny: Part-Time Mommy Nanny

Nanny Start Date:

Days / Hours: Salary Range (Gross):

Benefits Paid Vacation: Weeks after: Months

Paid Sick days: Holidays with pay:

Would you be willing to contribute towards health insurance?:

Amount / Month:

Will weekends be requested?: Frequency:

Will overnights be requested?: Frequency:
Rate of Pay:

Describe any travel plans contemplated during the Nanny's stay :

With Nanny: Without Nanny:

Please describe anticipated transportation needs:

Will a car be provided?:

If no, will a car allowance be provided for transportation of childrem?:

Caregiver Caracteristics:

Please list important qualites you feel the Nanny should possess:

Caregiver Responsibilites:

Please list Caregivers duties regarding your child(ren):

Housekeeping Duties:

Please list the housekeeping duties you will requre of your Nanny

Family Information:

Please list any information about your family that may help us in making a successful placement: