That’s My Nanny!
Initial Nanny Application

Thank you for your interest in becoming a nanny through That's My Nanny! Please fill in the request for an application below and we will immediately send you out the offical application. Upon receipt of your application a placement specialist form That's My Nanny will contact you to set up an interview. If you have any questions, please feel free to contact us by phone (585)381-1610 or e-mail at nanny@thatsmynanny.com.

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

Experience:

What kind of child care experience do you have?

# Years# Jobs # Years# Jobs
Nanny Teacher
Day Care Nurse
Family Day Care Other
Describe Other

What age children have you worked with?

What age children would you prefer to work with?

Do you have any formal training or education for child care? Yes No
Describe:

Do you have a current Infant/Child CPR training certificate? Yes No

Do you have a current First Aid training certificate? Yes No

General:

What type of position are you looking for? (Check all that apply):

Full -Time Live - In Emergency/Backup After School
Part - Time Live - Out Sick Child Other
Temporary Summer Only Group Care

Would you be interested in a household manager position with a family? This would include housekeeping, family meal preparation, grocery shopping and running errands in addition to child care. Yes No

Please fill in the hours you will be available to work on each day:

Monday Friday
Tuesday Saturday
Wednesday Sunday
Thursday

What are the minimum hours you would like to work in a week? Maximum hours?

How long would you be willing to commit to a nanny position? Months Years

Which foreign languages (if any) do you speak fluently?

Which pets (if any) are you not willing to work with?

Are you able to comply with the restrictions of a smoke-free work environment? Yes No

Do you have a valid driver's license? Yes No

Do you have a reliable car? Yes No

How long of a drive would you make to get to work?

When is your availability to start?

What are your salary requirements: Hourly: $ Weekly: $

How did you hear about That's My Nanny?

As part of our interviewing process we conduct a background check on all nannies prior to placing them in a home. This includes a criminal & child abuse check, a credit check and a driving record check. Would you be willing to go through this process? Yes No






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