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Nanny Application

It is our intention to refer you to families in need of childcare. Fees for our services are charged to the families. You receive our service at no charge. ACNA is a referral service. It is your responsibility to negotiate the terms of your employment with the employing family.

If you accept employment with a family referred to by ACNA, you are under contract to:
    * Notify us with the name of the family with whom you have accepted employment. 
    * Discuss and agree to each of the terms of the enclosed Nanny Work agreement with your new employer.

ACNA makes every effort to successfully match nannies and families. You should know that our agency guarantees the first 14 days of employment and if for any reason, either you or the family choose to make a change, ACNA will provide a replacement nanny to the family without additional charges to the family. At the same time, ACNA will make every effort to place you a with more suitable family as quickly as possible. Since we have already spent a great deal of time and energy in your particular placement, we would hope that you would permit ACNA to place you in your new nanny position.

In the extremely unlikely event that your performance as a Nanny does not measure up to the standards, ACNA is under no legal or contractual obligation to refer you for further employment as a Nanny.

In addition, you agree to hold ACNA harmless for any injuries you may sustain in the course of your employment.

Please acknowledge your understanding and/or agreement with our terms by typing your name below.
Type Name Here   Date

Your future employer will be receiving this information.  This is your opportunity to make a great first impression!  Please be sure to check for spelling, grammar, and punctuation. For reproduction purposes, please fill out your application in black or blue ink.  

The first two pages of this document will be for Angel Care Nanny Agency’s office use.  They will be used to help match you with the right family and will not be shared with potential employers.

 

Full name
Date of application
How did you hear about Angel Care Nanny Agency?

Do you agree to fulfill a one-year commitment with a family?
Which position are you applying for?
Are you looking for
Minimum and maximum number of hours you will work per week
Please list the longest commitment you can make to the right family
Geographic areas preferred?

Age of children preferred (please check all that apply):
Number of children preferred?

How would you rate your level of flexibility in a nanny position (re: duties & hours):
Are you willing to do light housekeeping related to children and their needs?
How would you describe your  housekeeping standards:
Are you willing to prepare meals for the family and/or help with meal preparation?
Are you willing to work in a home with pets?
Can you swim?
Are you willing to work in a home where someone smokes?
Are you a smoker?
Marital Status
Do you have any children?
Do you plan on bringing your child(ren) to your job?

 

Please circle the top 6 characteristics that describe you best:

 

Why do you want to be a nanny?

 

What are your future goals?

 

Nanny Information

 

Home Telephone: Cell Phone:
Email Address:
Current Address:
City: State: Zip:

 

Employment History/References
(Childcare Related)
*Please begin with your most recent employer*

 

1. Employer: Supervisor:
Daytime Telephone:
Starting and ending dates:
Salary when you started: 
Title and duties:
Ages of children when you started?
Why did you leave/looking to leave? 

 

2. Employer: Supervisor:
Daytime Telephone:
Starting and ending dates:
Salary when you started: 
Title and duties:
Ages of children when you started?
Why did you leave/looking to leave? 

 

 

3. Employer: Supervisor:
Daytime Telephone:
Starting and ending dates:
Salary when you started: 
Title and duties:
Ages of children when you started?
Why did you leave/looking to leave? 

 

 

4. Employer: Supervisor:
Daytime Telephone:
Starting and ending dates:
Salary when you started: 
Title and duties:
Ages of children when you started?
Why did you leave/looking to leave? 

 

 

5. Employer: Supervisor:
Daytime Telephone:
Starting and ending dates:
Salary when you started: 
Title and duties:
Ages of children when you started?
Why did you leave/looking to leave? 

 

 

Personal References

 

(List two personal references which are not related to you and that you have known at least three years.  Please note these references must be different than those listed in child care).
1. Name: Phone:
Relationship and number of years known:
2. Name: Phone:
Relationship and number of years known:

Job Information

 

Date you can start:

Are you looking for:  

*Registry Jobs are on-call positions, which you can choose to work, based on your availability- Angel Care Nanny Agency will call you randomly when families need last minute babysitting.

If you are looking for part-time work, what is your availability? 
If you are looking for full-time work, what monthly salary are you looking for?
What benefits are you looking for? 

Please list any outside commitments that we need to work around (classes, job, church):

 

Do you  have a car that you will bring to work? 
If yes, list year and model of car:

Have you had any driving tickets or accidents since you were first issued a driver’s license?
If yes, list dates and please explain:
Has your license ever been suspended or revoked?
If yes, please explain: 
Have you ever been convicted of a crime? 
If yes, please explain:

Check the times you would be willing to work on occasion:

 

Education Information

 

Name and location of High School:
Did you graduate? 
Did you attend college?
Name of College/University:
Major/Minor:
Childcare related courses: 
Other educational classes/licenses:

 

Are you CPR certified? First Aid? 
If yes, list most recent date of certification:
If no, are you willing to get certified/re-certified? 
Please list any languages, other than English, that you speak fluently:
Please list any special skills or abilities that you would like potential employers to know about:

 

Getting to know you!

 

1. Describe your strengths and why you would make a good nanny:

 

2.
    Please describe what you have learned from your previous childcare positions: 

 

3. What type of relationship do you feel there should be between you, your employer and
the children in your care?

 

4. What do you feel is important to the growth and development of a child?

 

5.
    What do you feel is the best method of discipline for a child(ren) in your care?

 

6.
    Please list 3 activities you would plan for EACH of the following age groups:
Infant:
Toddler:
Preschooler:
School Aged:

 

I certify the facts contained in this application are true and complete to the best of my knowledge. Type your name below to acknowledge this agreement.

 

Type Name Here: Date: