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Family Application 2
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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:
*
Full Time Live Out (30+ Hours)
Part Time Live Out (Less than 30 Hours)
Full Time Live In (30+ Hours)
Part Time Live In (Less than 30 Hours)
Temporary (6 Months or Less)
Nanny Share
Summer Nanny
What days will you need your nanny? Please choose all that will apply:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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?
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Yes
No
Pets in the house?
*
Yes
No
Is your home smoke free?
*
Yes
No
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.
*
Paid Sick Days
Vacation Days
Paid Holidays off
Medical
None
Have you hired a nanny before?
*
Yes
No
Please let us know if you are interested in placing any other household staff? Click all that apply.
Personal Chef
Housekeeper
House Manager
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