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Nanny Application
Basic Requirements
All applicants must have:
A valid Driver’s License
A reliable vehicle for transportation
At least 3 verifiable childcare references
CPR certification
A professional resume including all schooling and jobs within the past 5 years
All applicants must pass or complete:
A Pennsylvania criminal record check
A Pennsylvania Child Abuse Clearance
FBI fingerprinting
Full Pennsylvania Driving History report
All applicants must be:
At least 18 years of age
A non-smoker
Nanny Application
BACKGROUND INFORMATION
*Name
*Address
*Date of Birth
*Phone
*Email
*Are you a U.S. Citizen?
Yes
No
*Are you legally authorized to work in the United States?
Yes
No
*Are you 18 years of age or older?
Yes
No
*Have you ever been convicted of a crime?
Yes
No
If yes, please explain:
*Do you have a valid Driver's License?
*Do you have a U.S. Passport?
Yes
No
*Are you currently employed?
Yes
No
*Are you a non-smoker?
Yes
No
*Are you CPR-certified?
Yes
No
*Are you vaccinated?
Yes
No
Please select the vaccines you have received:
Flu
Tdap
Covid
None
Other
Are you fluent in any languages in addition to English?
Yes
No
If yes, please explain:
*Do you have your own vehicle for transportation?
Yes
No
*What is your highest level of education?
-- Select --
High School
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
PhD
If applicable, list college degrees or certifications that you possess:
*Years of nanny experience:
Have you worked with another nanny agency before?
Yes
No
If yes, for how long?
How did you hear about our agency?
POSITION PREFERENCES
*What date are you available to start work?
*What position(s) are you applying for?
*Please list your available weekly hours.
*Preferred hourly rate:
*Are you willing to travel for this position?
Yes
No
*Describe your ideal nanny position:
*What are some of your qualities that would make you the best candidate for a position?
*What are some activities that you enjoy doing with children you are caring for?
*What do you love most about being a nanny?
*Which age group of children do you have the most experience with? (Select all that apply)
Infants (Birth - Age 1)
Toddler (Ages 1-3)
Preschool (Ages 3-5)
Middle Childhood (Ages 6-11)
Young Teenager (Ages 12-14)
Teenager (Ages 15-17)
*Are you comfortable working with a family with pets?
Yes
No
If yes, are you comfortable providing care for those pets?
Yes
No
Please explain:
*Are you comfortable wearing a mask inside the family's home, if required?
Yes
No
Submit