Family Application 2

First and Last Name *

First

Last

Email *

Phone *

Address *

How many hours do you work per week? *

How many kids do you have and ages? *

What kind of nanny are your looking for? Please choose all that will apply: *

What days will you need your nanny? Please choose all that will apply: *

What would you like to pay your nanny per hour? Avg salary is $23-$35/hr *

What times will you need a nanny? If evenings, weekends, or overnights are needed, please describe. Please be as thorough as possible: *

When do you need a nanny to start? *

Overnights Needed? *

Pets in the house? *

Is your home smoke free? *

Does your child have any special needs? *

List your nanny must-haves and job duties here: *

Describe your nanny's housekeeping responsibilities: *

Describe your nanny's cooking responsibilities: *

Will your nanny be required to run errands or drive children to and from school? If so, what is the transportation situation? *

List your 100% non-negotiable deal-breakers here: *

Age? Additional Preferences. *

If you would like to offer Paid Sick Days, Vacation Days, Paid Holidays, Medical. Please check all that apply. *

Have you hired a nanny before? *

Please let us know if you are interested in placing any other household staff? Click all that apply.

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