Fields marked with * are mandatory.     
Date:*
Full Name:*
Current Address:*
Day Phone:* Cell Phone:
Fax: 
Email:*
Spouse’s Full Name:*
Your occupation:*
Spouse’s occupation:*
When do you need your new employee to start? 
Do you require a full-time or part-time employee?  
What are the days and times you need a nanny?
What hourly pay will you be offering?  

How many children do you have?  What are their ages and gender?

If any of the children are in school, list the hours and days of the week they attend.

Will your nanny be expected to cook for the children or family?
Does your family have any dietary considerations? 

Describe your residence:  private home, apartment, townhome, or other.

Will your nanny have the use of a car for work and personal use?  If yes, is it a 3rd car designated only for the nanny?
Will your nanny be traveling with you?  If yes, when and where? 

Please describe favorable/unfavorable experiences with previous employees.

List qualities you are looking for in an employee.  (i.e. swimmer, athletic, college background, etc)

Briefly describe the job description for the employee you are seeking.
How did you hear about us?  
 

Permanent Placement Fee Agreement

1. SERVICES:
At the client's request, Angel Care Nanny Agency (ACNA) will seek out, recruit, research and screen appropriate candidates for a position. (ACNA) acts only as a referral service and does not hire or employ any employee. The employee is to be hired, employed, and paid by client only.  Our clients are encouraged to complete their own due diligence in screening candidates to care for their children.
 

2.  APPLICATION FEE: 
Mail to:  1750 N. Buffalo Suite 104-426 Las Vegas, NV 89128
The application fee is $200 made payable to Angel Care Nanny Agency.  The application is a one-time fee and is non-refundable. You can pay by check or pay online by clicking the application fee payment button.

 

3. PLACEMENT FEE & GUARANTEE:
The Agency fee is $2,500. If for any reason the candidate’s employment terminates in the first year, you will receive a credit to apply toward your next search with Angel Care Nanny Agency as follows:

  • Within 1 – 60 days: client will receive a credit towards one future search of seventy five percent (75%) of the original fee paid.
  • Within 61-120 days: client will receive a credit towards one future search of fifty percent (50%) of the referral fee paid.
  • Within 121 – 365 days: client will receive a credit towards one future search of twenty five percent (25%)
 

4. PERMANENT PART TIME PLACEMENTS:
Permanent part-time placements will be billed at $1000. Client should understand that the period of coverage considered is not only to determine the employer’s satisfaction with the employee, but also for the possible contingency that may occur which would cause the employee to resign in the future for reasons not necessarily under his/her control. The agency does not refund or transfer fees or credits under any circumstances.
 

5. REPRESENTATIONS:
ACNA will use reasonable efforts to refer qualified candidates to the Client; however, it does not guarantee the credentials or performance of, or Client satisfaction with any candidate.  If the Client is dissatisfied for any reason, recourse to ACNA will be limited to a credit toward a future placement fee, as specified above.  The Client agrees to identify ACNA and hold it and all of its directors, officers, employees and agents harmless from any costs or expenses arising out of any claim against ACNA relating in any way to a candidate's employment.

FAMILY AGREEMENT

I have contacted Angel Care Nanny Agency to help me find household help. I have reviewed the fee options and agree that if I employ a candidate referred to me by Angel Care Nanny Agency, I will pay Angel Care Nanny Agency the referral fee in full as further detailed herein, before the candidate begins working for me. A deposit of 50% is due to Angel Care Nanny Agency immediately upon reaching an agreement of employment with the candidate with the balance due five (5) business days prior to candidate’s first day of work.

I agree to hold in confidence the identity of all candidates referred by ACNA and the contents of any files or documents forwarded to me for the purpose of review.  I further agree that all such files, comments and their contents remain the property of ACNA and agree not to make copies or reproduce the contents, in whole or part; and upon request, I will return them promptly to ACNA.  If I disclose any information about a candidate to a third party, and acting on that information, the third party subsequently employs the candidate, I undertake to pay promptly to ACNA the full placement fee that would have been payable for that candidate.

I understand that Angel Care Nanny Agency has invested in the interviews and background checks of the candidates and I will allow them to act as the placement referral agency.

If you agree to the terms listed above type "Yes" in this textbox.: 

 

Thank you for your time in completing this application.