Nanny Application Form Welcome! Contact Us Please tell us how you learned about Nannies by the Bay:* Name* Phone*Email* Home Address* City State Zipcode Please provide us with an emergency contact: Emergency Contact Name Relationship Phone Number What position would you like to apply for? * Temporary Nanny Long Term Nanny Family Assistant Newborn Care Specialist Doula Housekeeper Other Gross hourly rate requested?* Education High School (name/location) Did you graduate? No Yes with a GED or alternative credential Yes with a regular diploma Post -Secondary (name/location) Major/Minor Year graduated (or projected year of graduation) Do you have a valid Drivers License?YesNoDo you have a car? If yes, please list its year, make, and model. Regardless if it will be used for work or not. Experience I am experienced with children of the following ages: (please check all that apply)* Newborn to 9 months 9 months to 24 months 2 to 5 years old 5 to 10 years old Older than 10 years Special Needs/ Disabled: In what capacity of Childcare have you had experience?** Private Babysitting Relatives Day Care Center Preschool Teacher Teacher Church Nursery Camp Counselor Team Coach Tutor Live-in Nanny Live-out Nanny Other Please check all of the following that apply:** Drive a Car Know First Aid Smoke Will work around animals Will work with parent in home Swim Camp Counselor Know CPR Know Sign Language Will transport children Will assist in overnight care Please list three families you have babysat or nannied for. Format with Name of Family, phone number, length of time worked, number of children in the family, ages of children in the family at the start. *Day Cares and Summer Camps are acceptable references.Briefly describe any personal hobbies and interests.How did you hear about Nannies by the Bay? Internet Search Engine College Job Board/Job Fair Care.com Personal Referral/Friend other Additional comments: Nannies by the Bay Pre-Questionairre: Are you comfortable vaccinating?* Flu* Yes No Tdap* Yes No Covid* Yes No Are you willing to provide a driving record from the DMV?* Are you open to drug testing?* Are you comfortable working in a home with parents who work from home.* What ages of children do you prefer to work with.* What hours are you available to work?* Are you available to work evening or weekends, with advance notice.* Are you authorized to work in the U.S.?* Do you agree to work through a payroll company.* Are you able to complete your registration in person for CPR / First Aid if out of date?* Will you register your fingerprints with TRUSTLINE?* Do you have health insurance?* In your opinion, what is the difference between a babysitter and a nanny?* Are you comfortable adding a photo? If so, please attach below Please provide 3 adjectives you would use to describe yourself. Any additional Comments:Upload Image Drop files here or Select files Max. file size: 500 MB. . I certify that the information contained in this application is true, accurate, and correct. I understand and agree that any misrepresentation, falsification, or material omission of information on this application may be grounds for Nannies by the Bay to refuse to refer me for employment. Fields marked with an * are required
