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Parent's Application ...

Fill all the fields and Submit this Application.
Thank You.

Date:
Mother's Name:
Mother's Occupation:
Father's Name:
Father's Occupation:
Nationality:
Home Address:
City:
Zip:
Country:
Phone:
Fax:
E-Mail Address:
Child's Age(s):
Gender:

NANNY POSITION INFORMATION:
Full-Time: Part-Time: Full-Time Live-In: Summer:

(Mommy Nanny's bring their child and earn a lower salary):
Full-Time Mommy Nanny: Part-Time Mommy Nanny

Nanny Start Date:
Days / Hours: Salary Range (Gross):
Benefits Paid Vacation: Weeks after: Months
Paid Sick days: Holidays with pay:

Would you be willing to contribute towards health insurance?:

Amount / Month:
Will weekends be requested?: Frequency:
Will overnights be requested?: Frequency:
Rate of Pay:

Describe any travel plans contemplated during the Nanny's stay :

With Nanny: Without Nanny:

Please describe anticipated transportation needs:
Will a car be provided?:
If no, will a car allowance be provided for transportation of childrem?:

Caregiver Caracteristics:
Please list important qualites you feel the Nanny should possess:
Caregiver Responsibilites:
Please list Caregivers duties regarding your child(ren):
Housekeeping Duties:
Please list the housekeeping duties you will requre of your Nanny
Family Information:
Please list any information about your family that may help us in making a successful placement: