For à la carte background checks or any questions about our terms and fees, please contact us directly at 415.312.0548.

Family Application

Name

First Name

Last Name

Phone

(###)

###

####

Email Address

Occupation

Company name

Number of children

Name of children and their ages

If you have a child or children with special needs, please explain

What type of nanny are you looking for? Please check all that apply.

Please see our main page for the descriptions of the options below.

Live-In Nanny

Full-Time Nanny

Part-Time Nanny

Household Manager

Night Nurse

Temporary/Summer Nanny

Physical address

Home Address

City

State

Zipcode

Your spouse/partner's information:

Your spouse/partner's name

First Name

Last Name

Your spouse/partner's occupation

Company

If your children have any medical conditions, please explain

Do you have any family pets? If yes, please specify

If applicable, would your nanny be responsible for helping care for family pet(s)?

Explain your family schedule

Please describe your family philosophies regarding childcare, discipline, etc

Do you encourage play dates? If so, in your home or away?

If your child needs to be taken to activities or school, please explain

Please describe any household tasks your nanny will be expected to perform

How did you hear about us?

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