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. You will then let the agency know when would be a convenient time to set up any interviews with potential nannies. That's My Nanny will take care of setting up the interviews as well as giving the nannies any information needed. A placement specialist will contact both the family and the nanny after the interviews to answer any additional questions and to gain some feedback. This process will continue until a successful placement is made.

Family Information

Name (first and last):
Home Phone:
Address: Work Phone:
City, State: E-Mail Address:
Zip: Date:7/05/2008

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)






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