NannyQuest.net Candidate Form
NannyQuest Candidate Information Form

 NannyQuest Clients will view this application. Please fill out completely and check spelling.

 

General Information

             
First name: M.I.:

Last name:

  
Address: Street:  
City: State:

 

  
Zip: Apt./Unit #:  
Home phone: E-mail:  
Work phone: Cell #:  
Date Available:

Position applied for:

  
Desired Salary: $

Emergency contact(s):

 Name, Address, Relationship:  

 

    
     

Are you LEGALLY authorized to work in the U.S.?

 
Have you ever been convicted of a crime?

If yes, explain:

  

Do you have your own dependable transportation?

  
List any offenses that may appear on your driving record for the past SEVEN years.  A seven year driving record will be checked.  

Education

 
High School
       
Name: Address:
From: Did you graduate:
To:

Degree:

College

       
Name: Address:
From: Did you graduate:
To: Degree:
Major: Minor:

Other

       
Name: Address:
From: Did you graduate:
To:

Degree:
Major: Minor:

 

Previous Employment

Please do not leave gaps in employment history.

 
Company: Phone:
Address: Supervisor:
Job Title: Email Address:
Responsibilities Reason for leaving:
From:  
To:  

May we contact your previous supervisor for a reference?

 
Company: Phone:
Address: Supervisor:
Job Title: Email Address:
Responsibilities Reason for leaving:
From:  
To:  

May we contact your previous supervisor for a reference?

       
Company: Phone:
Address: Supervisor:
Job Title: Email Address:
Responsibilities Reason for leaving:
From:  
To:  

May we contact your previous supervisor for a reference?

 

 

Childcare (or other domestic) References

Please list three childcare references. Do not list family or friends.

Full Name: Relationship:
Company: Phone:   
Number of Children cared for:

E-mail:
Ages of children: From:
    To:
Was this a nanny position or on-call, as needed childcare? If a nanny position, approximate hours worked weekly:
        Reason for Leaving:
                            
Full Name: Relationship:
Company: Phone:   
Number of Children cared for:

E-mail:
Ages of children: From:
    To:
Was this a nanny position or on-call, as needed childcare? If a nanny position, approximate hours worked weekly:

        Reason for Leaving:
                            
Full Name: Relationship:
Company: Phone:   
Number of Children cared for:

E-mail:
 Ages of children: From:
    To:
Was this a nanny position or on-call, as needed childcare? If a nanny position, approximate hours worked weekly:
        Reason for Leaving:
                            
       

 

Tell us about yourself

When can you begin working:

Do you have experience with newborns?

Can you make at least a one-year commitment?

Do you have experience with twins?

Are you currently in school?  If so, what hours?

Do you like to cook?

Do you have schedule limitations?

(please be detailed)

List any certifications including Infant & Toddler CPR, Adult CPR, and others:

Live-in or live-out:

Are you willing to travel?

Tell us about your unique interests, talents & hobbies:

 

Do you have experience with special needs children?  If so, explain:

Do you need health insurance?

How well do you swim?

Do you like animals?

 Are you comfortable swimming with children?

Will you assist with pets?:

What was the last book

you read?

 

What languages do you speak (other than English)?

Are you willing to relocate?

Other skills:

Will you run errands?

What are your long-term goals in life?

Will you do child-related  housekeeping? (Nanny Applicants)
    Describe your past Nanny/Childcare/Domestic experience (include volunteer work, etc.):
Housekeeper / Home Manager
Do you have experience with the care of valuable china, crystal, marble floors, etc.?
Will you sweep outside and clean off patio furniture?
Do you iron?

 

Your health

     
Do you smoke?  
Do you have any allergies, including those to pets?  
Do you have any health conditions that would prohibit you from doing the job correctly?  
       

 

Personal profile

       
Tell us about yourself: Describe your philosophy of childhood discipline:
Why do you wish to be a nanny/professional caregiver or household manager at this time in your life? What do you, more than anyone else, have to offer a NannyQuest family?
What is your greatest strength?

Where do you see yourself in five years?

 

What is your greatest weakness?
  Describe the most difficult time you have had with a child, and tell us how you dealt with it.
       

 

By submitting this form I certify that my answers are true and complete to the best of my knowledge.  If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

 

 

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