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($475.00 (USD))
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Last Name
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Primary Phone
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Password
Family Information
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Parent/Guardian Name 1
Parent/Guardian Name 2
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Child 1: Name
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Child 1: Date of Birth
Child 2: Name
Child 2: Date of Birth
Child 3: Name
Child 3: Date of Birth
Child 4: Name
Child 4: Date of Birth
Child 5: Name
Child 5: Date of Birth
Contact Information
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Occupation & Employer Information
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Parent 1: Occupation
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Parent 1: Employer
Parent 1: Work Phone
Parent 1: Cell Phone
Parent 1: Work E-mail
Parent 2: Occupation
Parent 2: Employer
Parent 2: Work Phone
Parent 2: Cell Phone
Parent 2: Work E-mail
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Does either parent work from home?
Yes
No
Nanny Requirements
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Type of Placement Desired
Full-time (Live-out)
Full-time (Live-in)
Part-time
Temporary/Summer/Short-term
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What skills and abilities are you looking for in a Nanny?
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What date would you like the Nanny to start working?
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What days of the week and hours do you need the Nanny?
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How many children will the Nanny be responsible for?
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Do your children have any special needs (behavioral, allergies, disabilities, etc.)? Please explain
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Will the Nanny be required to administer medication? Please explain.
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Describe living accommodations you provide.
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Describe any special compensation and/or benefits you'll provide (health insurance, tuition, etc.)
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Weekly Salary Range
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Paid Holidays
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What percentage of the Nanny's work would be childcare?
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What percentage of the Nanny's work would be domestic?
What household tasks would the Nanny be expected to perform?
Children's laundry
Household laundry
Light dusting & vacuuming
Dusting & vacuuming (all)
Empty dishwasher
Fully clean kitchen
Tidy kitchen & other areas
Fully clean bathroom(s)
Prepare children's meals
Prepare family meals
Pet care
Ironing
Plant care
Errands
Other
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Number and types of pets in your home?
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Do you plan to travel with your Nanny?
Yes
No
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Will the Nanny be expected to drive?
Yes
No
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Will a car be provided?
Yes
No
If yes to the previous question, is the car an automatic or manual transmission?
Automatic
Manual
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How much cooking is required?
Cook for children only
Cook for family
No cooking is required
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Are there any special dietary restrictions? Please explain.
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What is your discipline policy?
Is there any additional information we should know?
What have you liked/disliked about previous Nannies, if any?
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How did you hear about us?
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