Nanny Employment Application
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Are you a US citizen?
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If NOT, are you eligible to work in the US?
Position Desired (Please check all that apply)
If looking for a permanent job, can you commit to a year?
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All of our placed nannies must have current CPR certification. We will give you ample time to get certified.
Are you CPR certified?
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If not are you willing to get CPR certified if family requests it?
Have you ever been arrested, or convicted of a misdemeanor or a felony?
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If yes, please explain. (This will not necessarily exclude you from getting a job).
Do you have a valid driver’s license?
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Do you have a car?
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Education
High School:
Name and state, date graduated
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College:
Name and state, Major, Dates Attended, Degree
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Other Education/Degrees:
Name and State, Dates attended, Degree
Are you currently attending?
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Are you fluent in any other languages?
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Please list any volunteer work you have done
What are your long-term goals/dreams?
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Personal Information
Marital Status
Do you have any children?
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Who is your backup if they get sick?
Do you plan on bringing them to work with you?
Do you have any medical training?
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Do you smoke?
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Do you know how to swim?
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Please describe any present or past health issues.
Please list any prescribed medications you take and their purpose
Do you have any restrictions on lifting?
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Do you have any objections to pets?
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Please list any allergies you may have
References
May we call your current or previous employers?
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If not, please explain why
Address, City, State, and Zip
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Did you care for children on this job?
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Live-in or Live-out and Hours worked/Days and or nights
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Address, City, State, and Zip
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Did you care for children on this job?
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Live-in or Live-out and Hours worked/Days and or nights
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Address, City, State, and Zip
Did you care for children on this job?
Live-in or Live-out and Hours worked/Days and or nights
Names, phone numbers, dates, etc. of any additional CHILDCARE references
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Please explain any gaps in employment over the last 5 years
Childcare Experience
Do you have any experience working with a special needs child?
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Have you cared for a nursing baby?
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Toilet trained a child?
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Taught a child to swim?
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Would you consider caring for a child with special needs?
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Are you willing to travel with a family?
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Are you willing to prepare meals for the family?
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Are you willing to provide light household duties?
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What would be an age-appropriate activity that you might do with a 3-year-old?
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Emergency Contact Information
Application Certification
I certify that the facts contained in this application are true and complete to the best of my knowledge.
If I do not have current CPR certification, I agree to obtain it within the first 30 days of my employment.
In the event that Superior Nannies LLC does not receive its placement fee, I agree to discontinue working for the family if the agency asks me to do so.
Please feel free to call Superior Nannies LLC with any questions at 303-725-5440