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Caregiver Application

 





My Good Nanny represents the best Christian caregivers: nannies, babysitters, and elderly care providers. To submit an application, please complete the following form.

* = Required Field

Personal Information

First Name *

Last Name *

Address *

Address 2

City *

State *

Zip Code *

Phone *

Email *

Languages Spoken (ctrl + click to make multiple selections) *

How did you hear of us?

*

About the Position You Are Seeking

Position Desired  Nanny Babysitter Elderly Care*

Skills  Cleaning Gourmet Cooking Property Maint. Light Cleaning Cooking for Children Vehicle Maint. Assist Cleaning Pets/Pet-care Gardening Child Care Swimming Handyman Ironing Wade in Water w/ Child Computer Literate Laundry Serving Management/Admin. Laundry For Children Formal Table-Setting CPR Driving Sewing Infant-Care Cooking Equipment Maint. Elder-Care Family Cooking Pool Maint.*

Are you looking to  Live-in Live-out*

Are you available for  Full-time work Part-time work*

What days are you available to work?  Sunday Monday Tuesday Wednesday Thursday Friday Saturday*

Are there any restrictions to your availability on the days you checked above, such as available only in the morning or only in the evening? Please explain below
*

Do you have a valid driver’s license? *

Do you have a vehicle you are willing and able to use for the job? *

What is your highest level of education? *

Can you work in a home with pets? *

Do you smoke? *

Do you have any criminal convictions? *

If yes, please explain in the box below

Are you willing to relocate? *

Are you willing to travel?*  Yes No Domestically Internationally

Are you interested in My Good Nanny training? *

Would you like to be featured in our caregiver spotlight? *

Desired Hourly Salary *

Is there anything else you wish to add?

Please upload your photo (jpg, gif or png only) *

Employment History

Position 1

Position *

Salary *

Did you care for children? If so, how many? *

What is the start date and end date of this position? *

What were your responsibilities in this position?
*

Why did you leave this position?
*

Please leave your employer’s contact information below. Include name, address and phone number.
*

Position 2

Position *

Salary *

Did you care for children? If so, how many? *

What is the start date and end date of this position? *

What were your responsibilities in this position?
*

Why did you leave this position?
*

Please leave your employer’s contact information below. Include name, address and phone number.
*

Please enter the verification code in the box. Your form will not submit without this code.

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