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 and Address:  

Birth date:

(optional)

  
Marital status: (optional)  
Do you have children?  If yes, list names, ages & birthdates: (optional)

Name, Age, Birthdate:

  

Are you a  citizen of the United States?

If no, are you authorized to work in the U.S.?

Have you ever been convicted of a misdemeanor or felony?

If yes, explain:

  

Year and Make of Car:

  

List any offenses that may appear on your driving record during the past 7 years:

  

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:   
Ages of children cared for:

E-mail:

  
        Reason for Leaving:
                            
Full Name: Relationship:
Company: Phone:   
Ages of children cared for:

E-mail:

  

        Reason for Leaving:
                            
Full Name: Relationship:
Company: Phone:   
 Ages of children cared for:

E-mail:

  
        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?

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:

What are your long-term goals in

life?

 

 

Describe your past Nanny/Childcare/Domestic experience (include volunteer work, etc.):

Do you need health insurance?

How well do you swim?

Do you like animals?

What was the last book

you read?

Will you assist with pets?:

Are you willing to relocate?

What languages do you speak (other than English)?

Do you mind running errands, carpooling, grocery shopping, etc.?

Other skills:

Do you mind child-related  housekeeping? (Nanny Applicants)

   
Housekeeper / Home Manager
Do you have experience with the care of valuable china, crystal, marble floors, etc.?
Do you mind cleaning patio furniture or sweeping outside?
Do you iron?

 

Your health

       
Do you smoke?

Do you have any health conditions that would prohibit you from performing a position that may be offered to you?

 

Date of last physical exam:

Do you have any allergies, including those to pets?
       

 

Personal profile

       
Describe your upbringing, including where you were born, what you liked most about your childhood and what you liked least about it: What is your current family situation:
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 your philosophy of childhood discipline: Describe the most difficult time you had with a child and how did you deal 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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