Apply to become a nanny! Name * First Name Last Name Email * Phone * (###) ### #### Birthday * MM DD YYYY Address * Education Completed * High School Diploma Associate's Degree Bachelor's Degree Master's Degree Doctorate University Attended (if applicable) * Major (if applicable) * Years of childcare experience * Have you worked in a home setting independently? * Yes No Do you have experience with infants? * Yes No Ages you're most comfortable with * Infants Pre-toddler Toddlers Pre-K Early Elementary Upper Elementary Middle School High School All Ages Are you currently employed? * Yes No If so, where? * Please list at least three references (at least one of which you've nannied for) including phone and email. * Are you CPR certified? * Yes No Are you First-Aid certified? * Yes No Is there anything we can expect to find on your background check? * Yes No Do you have a clean driving record? * Yes No Do you have your own reliable vehicle? * Yes No What is your current availability to nanny? * Please list any specific things you want us to know about you (hobbies, interests, certifications, fun facts, etc.) * Emergency contact (please include phone number) * Person/people that referred you * Oh yeah! Must love kids and dogs * YES! Thank you! We will be in touch with you soon.