Be Our Nanny: Family Application

Family Application
Thank you for your interest in Be Our Nanny. We are pleased to help you with your in-home child care needs. By completing this application we can begin the process of introducing you to nannies in our pool of candidates. We will need you to forward us a signed contract as well, along with the $150 application fee. The contract can be transmitted via fax.

The application fee can be charged to MasterCard or VISA. A staff member will call you upon receipt of your application. We look forward to working with you and guiding you through the hiring process. Remember, this application is for full time and part time permanent live-in and live-out nannies. Do not complete this application if you are seeking temporary placement candidates. Those services would fall under our Be Our Temp™ division, as they would not be permanent placements.

You will find this application to be quite thorough. While we apologize for the length and breadth of the information requested, we assure you each and every question has been developed to address very real and important aspects of your needs and desires as prospective nanny employers. The application is in two parts and should take you no longer than thirty-five minutes to complete.

Mother's Name:
*

Maiden Name:

Occupation:
* FT PT

Father's Name:
*

Occupation:
* FT PT

Home Address:
*

City State Zip Code

* * *

Business Address:

City State

Does your work require you to travel?:
yes no
If "yes", frequency & duration:

E-Mail Address:
*

Home Telephone
*

Business Telephone(s)

Child(ren)'s Name(s)
Age Birthday
Age Birthday
Age Birthday
Age Birthday

Do you plan on having any more children?
Yes No

If so, Approximately when?

Do you own pet(s)?
Yes No

If so, what type(s)?

Who cares for them?

Does your child take any medications?
Yes No

If so, please explain

Do any of your children require special needs, such as health, behavior, emotional, or academic concerns?
Yes No

If yes, please explain

Briefly describe the children's day.

Briefly describe the parents' day.

Briefly describe the nanny's typical day.

Duties and Responsibilities
Check as desired.

Transporting of child(ren)
Travel with family. If yes, where do you typically go?
There will be a car available
Children's laundry
Children's meals
Care of pets
Grocery shopping
Accompany family on outings
Tidy home

Do you have a housekeeper?
Yes No

If so, how often?

If no, who does the cleaning?

Nanny's work schedule:

Days on
Days off
Hours needed
Live-in Live-out Either

After submitting this part of the form, you will be prompted to complete Family Application Part Two.