Recurring Care: Family Application
We are excited to assist your family with securing care!
This application will assist us in vetting appropriate candidates for your position.
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Email *
First and Last Name *
Today's Date *
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Physical Address (address, city, state, and zip code) *
Phone Number *
We are looking to fill the following role *
Required
This position is *
We anticipate needing services *
Estimated Start Date *
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How did you hear about E-Nanny *
Children's Info (Name, Age, Gender) *
Are you expecting any more children within the year? *
If any of your children have special, atypical or alternative needs, please describe.
Please describe your home dynamic *
Required
Please describe your parenting model *
Required
My children do not enjoy
Daily Schedule/Routine *
Eating Habits *
Eating Restrictions *
Are there any allergies (environmental or food)? If yes, please describe. *
Discipline *
Please describe your discipline style/philosophy *
Please list any household pets (specify indoor/outdoor, breeds, and approximate weight)
Electronic Restrictions *
Access to electronic media during the nanny's shift
Required
Please detail any other information we should know about your family (home dynamic, home culture, boundaries, expectations, goals, etc.)
Nanny Work Schedule (please detail days and start and end times) *
Any additional scheduling information
Will the nanny need to transport your child(ren)? *
Required
If yes, what will the nanny use to transport the children? *
Hourly Rate *
Required
What responsibilities will the nanny have? *
What qualities are you looking for in a nanny? *
Required
Years of experience preferred *
Required
Any additional nanny requirements? (education, particular skill, travel docs, health status, etc.)
Are you comfortable with a nanny bringing her own child to work with her? *
What benefits and accommodations will you provide your nanny? *
Required
Have you ever employed a nanny before? *
If yes, please tell us what you liked and disliked about your previous nanny.
For what reason is the nanny no longer employed with your family?
What are the best days/times to contact you? *
I prefer to be contacted by *
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