NANNIES FOR HIRE

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Email Address: *

Full Name: *

Phone #: *

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Home Address:

Street Address

Address continued

City

State

Zip

Are You Applying For A Nanny/Babysitting Position? YesNo

Date of Birth: *

Do You Have Experience As A Nanny/Babysitter? * YesNo

How Many Years of Experience Do You Have? *

Are You Fluent in English? * YesNo

Are You Fluent In Spanish? * YesNo

Do You Speak Any Other Language? * YesNo

Which Other Languages Do You Speak?

There is a $25 Surcharge Fee For Processing Your Application for Consideration. Are You Ready To Make Payment Now? (All Payments are Processed Securely Through PayPal.com and Requires A Valid Credit Card) * YesNo

Are You Currently Working As a Nanny/Babysitter? * YesNo

When Did You Last Work As A Nanny/Babysitter? *

Are You Available to Work Full-Time or Part-Time Hours? * Full-Time HoursPart-Time Hours

Please All Your References Here:

What is The Least You Are Willing To Accept For A Nanny/Babysitting Job? (ex. $12/hr) *

Are You in Need of A Nanny/Babysitter? * YesNo

There is a $75 Service Fee for Finding You A Nanny/Babysitter. Are You Prepared To Make a Payment Now? (Payments are required prior to services, and are securely processed through PayPal.com and requires a valid credit card) * YesNo

Please Detail Your Ideal Nanny/Babysitter So That We May Begin Searching Our Database of Potential & Experienced Candidates. (Please include any Language and/or Total Years of Experience Desired.) *

How Many Children Do You Need Assistance For? (Please Include Ages) *

Are There Any Special Tasks Required?

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