Nanny Agency Application

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How to create a Nanny Agency Application? An easy way to start completing your document is to download this example Nanny Agency Application template now!

We provide this Nanny Agency Application template to help professionalize the way you are working. Our business and legal templates are regularly screened and used by professionals. If time or quality is of the essence, this ready-made template can help you to save time and to focus on the topics that really matter!

Using this Nanny Agency Application template guarantees you will save time, cost and efforts! Completing documents has never been easier!

Download this Nanny Agency Application template now for your own benefit!

VILLAGE NANNIES APPLICATION FORM DATE: GENERAL INFORMATION Name: Address: Home Phone: Work Phone: Cell Phone: Email Address: Date of Birth: Social Security /Social Insurance : DRIVING RECORD Do you have a valid driver s license Yes No License : State/Province: Number of accidents/moving violations in which you were a driver in the past 3 years: Explain: Are you able to drive a manual transmission Yes No Do you have your own car Yes No MISCELLANEOUS Have you ever been convicted of a crime Yes No If Yes, explain: Do you smoke Yes No Do you take drugs Yes No Do you drink alcoholic beverages Yes No MEDICAL HISTORY Do you have any dietary restrictions Yes No If Yes, explain: Do you have any medical conditions that may affect your ability to work as a nanny Yes No If Yes, explain: What is your energy level Are you physically able to work as a nanny Yes No Do you have any allergies Yes No If Yes, explain: Do you take any prescription medications Yes No If Yes, list: Have you had or do you currently have any psychological problems Yes No If Yes, explain: EDUCATION What is your highest level of education School/College/University: Do you have First Aid/CPR certification Yes No If Yes, what level Have you taken any additional courses or training Yes No If Yes, list: INTERESTS Hobbies: Sports: Do you like pets Yes No Explain: Do you do housekeeping Yes No Explain: Do you cook Yes No Explain: List any other interests that may be relevant: EMPLOYMENT HISTORY Dates Employer Telephone Number Duties NANNY EXPERIENCE What is your previous nanny experience Live-in Nanny Live-out Nanny Mother s Helper Other: Describe your experience as a nanny/ mother s helper/babysitter: What is your previous experience working with children Teacher Teacher s Aid Camp Counselor Babysitter Raised your own children Other: What skills

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