Nanny Application

Personal Statements

Please answer these questions.
Please describe the worst childcare situation you have ever been in and how you handled it:
What are your strengths?
What are your weaknesses?
What are your hobbies?
Please add any additional information you would like to tell us about yourself:

Upload your CV/Resume (optional)

If you dont have one, proceed to fill the form below
Cancelof
Briefly outline your Childcare Experience
Would you be willing to do light housekeeping?

YesNo
Would you be willing to cook for the children?

YesNo

Work Experience
Please provide complete details of your work experience. Start with your most recent position and work back from there. Fill as much as you can!
Employer #1
Name of Employer
Start Date
End Date
Job Description:
If this experience was childcare related, include age of children when you first started.
Name of Supervisor:
Supervisor Telephone
Phone Number
Reason (if applicable) for leaving:
Employer #2
Name of Employer (2)
Start Date
End Date
Job Description:
If this experience was childcare related, include age of children when you first started.
Name of Supervisor:
Supervisor Telephone
Reason for leaving:
Employer #3
Name of Employer (3)
Start Date
End Date
Job Description:
If this experience was childcare related, include age of children when you first started.
Name of Supervisor:
Supervisor Telephone
Reason for leaving:
Employer #4
Name of Employer (4)
Start Date
End Date
Job Description:
If this experience was childcare related, include age of children when you first started.
Name of Supervisor:
Supervisor Telephone
Reason for leaving:

Any Additional Information?

Please feel free to use the box below to provide any additional explanations or information for any of your past employments.
Additional Info
Please list 3 or more references. At least one should relate to recent childcare work.
First Reference*
Reference Name

First NameLast Name
Relationship to You
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Second Reference*
Reference Name

First NameLast Name
Relationship to You
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Third Reference*
Reference Name

First NameLast Name
Relationship to You
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Fourth Reference
Reference Name

First NameLast Name
Relationship to You
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Should be Empty:

New Job Information: