Family Application

Parent 1 Name *

First

Last

Parent 1 Email *

Parent 1 Number *

Parent 2 Name *

First

Last

Parent 2 Email *

Parent 2 Number

Address *

Address Line 1

Address Line 2

City

State

Zip Code

School District

How did you hear about Nannies In Your Neighborhood? *

Have you worked with an agency in the past?

Are you cautious with COVID-19?

Would you like your potential nanny to wear a mask in your in home or while caring for your children?

Have you or any immediate family members had covid?

Does your nanny need to be fully vaccinated? *

How long will you need a nanny? One year, six months, summer? *

What date do you need a nanny by? *

What days and times do you need a nanny? *

What attributes would your ideal nanny possess?

How many children do you have? *

What are their ages? *

What are their genders?

Any special needs or allergies we should be aware of? *

What activities and things do your children like to do during the day?

What light household duties do you expect your nanny to help out with, understanding children are first priority? *

Do you have any pets? *

What type of animals?

What breed(s)?

What language(s) do you require your nanny to speak?

What salary/hourly rate and benefits are you offering to pay your nanny? *

Do you plan to pay your nanny on the books and provide them with a W-2? *

Published by nanniesneighborhood12