Name *

First Name

Last Name

Partner's name if applicable

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which scenario best describes your need for flexibility/extra babysitting needs

Check all that apply

Not too often - occasional date night or weekend plans

A decent amount - weekly date nights & frequent weekend plans

Occasionally for overnights while parents travel

Never - we have reliable backup care

Which primary household tasks are you hoping your nanny will perform

check all that apply - primary household tasks are included in standard rates

General housekeeping of areas/rooms used

Children's meal prep

Children's laundry

None

Are you expecting any of the following House Manager tasks

Check all that apply - house management tasks often come at a higher hourly rate

Family laundry

Running errands

Family meal prep

None

Will you provide industry standard 2 weeks minimum paid vacation, holidays, and sick/personal days for your nanny

please check all that apply

All

Vacation

Holidays

Sick/Personal

Will your nanny be required to have their own car?

Yes

No

Will your nanny be required to drive on the job?

No

Yes - in family vehicle only

Yes - in nanny vehicle only

Yes - in either vehicle

Unsure

How long are you hoping your nanny is with your family?

Check all that apply

1-2 years

3-5 years

As long term as possible

Not Sure