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Home
Families
Nannies
Testimonials
Contact us
If you have questions about the application, feel free to contact us directly at
415.312.0548
.
STEP 1. PERSONAL INFORMATION
Name
*
First Name
Last Name
Phone
*
(###)
###
####
Email Address
*
Desired Position (please check all that apply)
*
Please check our main page for the details of the positions listed below.
Live in Nanny
Full Time Nanny
Part Time Nanny
Household Manager
Night Nurse
Temporary/Summer Nanny
Desired Territory
*
Please indicate your desired hourly wage
*
DRIVING EXPERIENCE
How many years have you been driving?
*
Please only enter the number of years that you have a valid US driver license. Enter 0 otherwise.
Have you been involved in a car accident?
*
Do you have a car that you can use it for your work?
*
Yes
No
PHYSICAL ADDRESS
Address
*
City
*
State
*
AK
AL
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zipcode
*
STEP 2. EDUCATION & TRAININGS
What is the highest educational degree that you are holding?
*
High School Diploma
Bachelor Degree
Master Degree
If you hold a Bachelor or Master Degree, please explain what your degree was on and also the benefits of your degree on the current position you are looking for.
Have you ever taken a CPR training?
*
Yes
No
When was the last you had a CPR training?
MM
DD
YYYY
What is your philosophy for child-care? Please explain in detail.
*
If you are holding any certificate that you think it is relevant, please explain in detail below.
Please indicate all languages you know (with proficiency)
*
STEP 3 EXPERIENCE
Have you worked with a nanny agency before? If yes, please type the name of the agency below.
EXPERIENCE 1 (Most Recent)
Your Position Title
*
Name of Employer
*
Start Date
*
MM
DD
YYYY
End Date
*
Please enter today's date if this is your current position.
MM
DD
YYYY
Reason for leaving this position
*
Contact Information of the Employer
*
Please add email, phone number of your former employer here.
EXPERIENCE 2
Your Position Title
Name of Employer
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Reason for leaving this position
Contact Information of the Employer
Please add email, phone number of your former employer here.
EXPERIENCE 3
Your Position Title
Name of Employer
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Reason for leaving this position
Contact information of the Employer
Please add email, phone number of your former employer here.
Are you able to prove that you are legally authorized to work in the United States?
*
Yes
No
Thank you, we will be in touch soon! Please email your resume to info@amodernnannyagency.
