That’s My Nanny!
Family Request for Information

Thank you for your interest in That's My Nanny services. Upon completion of this form, we will immediately send you information about our business and a Personal Needs Assesment. Upon receipt of the Personal Needs Assesment a placement specialist from That's My Nanny will contact you to answer any question you or the agency may have. From that point on your family will start receiving interested nanny applications via mail or fax for you to review. We'll arrange nanny interviews for you and follow up with any questions after.

Family Information

Name (first and last):*
Home Phone:   
Address:* Work/Cell Phone:   
City, State:* E-Mail Address:*
Zip:* Date:3/10/2010

Preferred method of communication:


How many children do you have? Ages?

What type of nanny are you looking for? (Check all that apply):
Full Time
Part Time
Temporary
Live - In
Live - Out
Summer
Emergency/Backup
Sick Child
Group Care
After School
Other


What days and hours would you need the nanny to work?

Monday Thursday Saturday
Tuesday Friday Sunday
Wednesday
When do you need the nanny to start?

What salary are you willing to pay the nanny?(optional)

* Required Fields





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