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Nanny Intake Form

Complete the form below to apply to join the Caring Nannies team. A coordinator will review your intake form and reach out to schedule a phone screening.

About You

First Name *

Last Name *

Email *

Phone *

Address

Date of Birth

Your Experience

Years of Experience *

Education

Qualifications (select all that apply)

CPRFirst AidInfant CareNewborn CareSleep TrainingSpecial NeedsWater SafetyEarly Childhood EducationBilingualMontessori

Languages (comma-separated)

Tell us about yourself and your experience with children

Can you drive?

Own vehicle?

Will travel?

Live-in available?

Special needs exp?

Newborn exp?

Infant exp?

Your References

Please provide at least 2 references. These should be families or employers you have worked for as a caregiver.

Reference 1

Full Name *

Relationship *

Phone *

Email

Years Known *

How do they know you? (optional)

Reference 2

Full Name *

Relationship *

Phone *

Email

Years Known *

How do they know you? (optional)

Availability

Desired Hourly Rate (cents)

Desired Weekly Hours

Interested in babysitting?

Additional Comments