Interested Nanny

    First Name Last Name

    Email Address

    Cell Number Alternate Phone Number

    Home Information

    Home Address

    City State Zip

    Are you legally authorized to work in the United States?
    YesNo

    *Proof of citizenship or immigration status verifying legal authorization to work in the United States will be required upon employment.

    Have you ever been convicted of a crime? YesNo
    If yes, please explain.

    Are there any felony charges pending against you? YesNo
    If yes, please explain.

    Do you smoke or use any tobacco products? YesNo

    Getting to Know You

    How did you hear about us?

    Please tell us why you would like to be a nanny?

    Please tell us about your personal values and your thoughts on being a role model for children.

    Please tell us about any experience you have working with children and the ages of the children with which you have worked.

    Please tell us about any skills you have that might be relevant. Ie. CPR certified, fluent in Spanish, good at cooking, Lifeguard certified.

    Approximately how many hours per week would you like to nanny?

    When are you available to start?

    How long do you think you would be available to nanny?
    (i.e. the next 9 months; during summer break; the next 'X' years while finishing college etc.)

    Background Information

    High School
    Name Location (City, State)

    Cumulative GPA Did you graduate? YesNo

    College/ Post-High Training
    Name Location (City, State)

    Major area of study Cumulative GPA

    Degree/certification Did you graduate? YesNo

    If not, when will you graduate?

    Graduate School
    Name Location (City, State)

    Major area of study Cumulative GPA

    Degree/certification Did you graduate? YesNo

    If not, when will you graduate?

    Character References

    *You must provide at least 2 character references. These must not include family members.

    Reference #1
    First Name Last Name

    Phone Number

    Relationship to applicant: How long have you known this person?

    Reference #2
    First Name Last Name

    Phone Number

    Relationship to applicant: How long have you known this person?

    Reference #3
    First Name Last Name

    Phone Number

    Relationship to applicant: How long have you known this person?

    Most Recent Work Experience

    Name of Employer

    Address City State Zip

    Supervisor’s name Supervisor’s phone number

    Can we contact this person as a reference? YesNo

    Dates of employment Through Position Held

    Additional Work Experience, if applicable

    Name of Employer

    Address City State Zip

    Supervisor’s name Supervisor’s phone number

    Can we contact this person as a reference? YesNo

    Dates of employment Through Position Held

    Additional Work Experience, if applicable

    Name of Employer

    Address City State Zip

    Supervisor’s name Supervisor’s phone number

    Can we contact this person as a reference? YesNo

    Dates of employment Through Position Held

    I certify that all information I provided in this application is true, accurate, correct, and complete. I authorize investigation of all information provided in this application by Northlight Nannies unless I have specifically indicated otherwise. I authorize the references I provided to provide all information concerning my prior employment and any other information they have regarding me and my character. I authorize the disclosure of any information about me to potential clients by Northlight Nannies, including but not limited to the information I and my references have provided. I understand and agree that any misrepresentation, falsification, or material omission of information on this application may be grounds for Northlight Nannies to refuse employment. I also release Northlight Nannies, owners, members, agents, employees, representatives, and affiliates as well as any other persons or entities from any and all liability as a result of providing and/or receiving information regarding me, my employer current or historical, my character, or the use or disclosure of such information. 

    Click this box to agree to the above statement.
    (Failure to click this box will prevent application from being sent)

    Post a Comment

    Your email is never published nor shared. Required fields are marked *

    You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>

    *
    *

    Recent reflections from our blog