Nanny Application Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Years of Experience as a Full Time Nanny How long did your longest nanny position last? Age How many hours minimum per week do you require? How many hours maximum per week are you willing to have? Hourly rate for one child Hourly rate for multiple children Start Date Are you comfortable working with all age groups? Yes - flexible No - only infants How many children total are you comfortable caring for to start? Are you currently employed? Yes No Please describe your current job or or if unemployed, why your last position ended Please list all languages you speak fluently Do you drive? Yes but I do not have a vehicle Yes and I have my own vehicle No Are you comfortable driving children on the job if required? yes - in the family vehicle only yes - in my vehicle only yes - in either vehicle no - not at all How far are you willing to travel for your daily commute? Which suburbs are you interested in? none - city only north shore and surrounding areas (winnetka, wilmette, glenview, highland park, etc.) western burbs (hinsdale, claredon hills, oak park, etc.) other open to any & all Are you interested in traveling with the family? Yes - domestically only Yes - domestic & international No - not interested Yes - but not sure if I want to, need to discuss Are you interested in a nanny share? Yes No Unsure - would need to discuss Are you CPR certified? Yes No Are you First Aid Certified? Yes No Do you have any special needs experience? If yes, please describe. Are you willing to perform basic household tasks? General Housekeeping for Rooms/Areas used with Children Children's Meal Prep Children's Laundry All Do you have any house management experience? Are you willing to do a background check? Yes No Are you up to date on all your vaccinations (COVID, TDap, MMR, Hep A&B, Flu, etc.) Yes No Are you comfortable with pets? Dogs Cats All None Please list 2-3 references (full names, email and/or mobile #) How long are you hoping to stay at your future position? Please describe what you are looking for in a family. What makes you most comfortable with a family, children, and in someone's home? How did you hear about Just Like Family? Thank you!
