Start Your Search for aNanny or Family Assistant We Would Love to Hear from You!Please complete the form below. Your InformationFirst Name *Last NameEmail *Home Phone NumberCell Phone Number *Address *Street AddressStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCity *ZIP CodePartner's InformationPartner's First NamePartner's Last NamePartner's Email *Would you like your partner to be copied on all email correspondence? *YesNoPartner's Contact Phone Number *Your InformationOccupation *Place of employmentWork Phone NumberHours worked per week? *Do you work from home? *YesNoDo you travel for work? *YesNoPartner's InformationPartner's Occupation? *Partner's Place of employment *Partner's hours worked per week? *Does your partner work from home? *YesNoDoes your partner travel for work? *YesNoType of Nanny or Family Assistant you are applying for:Work Hours? *Full-Time (35 or more hours per week)Part-Time (30 to 34 hours per week)When would you like Nanny or Family Assistant to start? *Special skills requested: *Newborn experienceCookingHomework helpTutoringSwimmingSpecial needsDriving on the jobFamily Assistant related skills (list below)Nanny's/Family Assistant's weekly work schedule:Monday Start Time:HoursMinutesAMPMMonday End Time:HoursMinutesAMPMTuesday Start Time:HoursMinutesAMPMTuesday End Time:HoursMinutesAMPMWednesday Start Time:HoursMinutesAMPMWednesday End Time:HoursMinutesAMPMThursday Start Time:HoursMinutesAMPMThursday End Time:HoursMinutesAMPMFriday Start Time:HoursMinutesAMPMFriday End Time:HoursMinutesAMPMSaturday Start Time:HoursMinutesAMPMSaturday End Time:HoursMinutesAMPMSunday Start Time:HoursMinutesAMPMSunday End Time:HoursMinutesAMPMPlease list any scheduling notes, such as what is flexible or not, or upcoming changes.Hourly Salary Range:MinimumMaximumIf tutoring desired, what grade, which subject(s)?If other language(s)/ASL desired, which language(s)?Have you ever employed a Nanny or Family Assistant? *YesNoHow was your experience? *Please describe your idea of what you would like your Nanny or Family Assistant to do on a typical day. *Please describe what kind of parents you are, and your lifestyle. *What do you do as a family in your free time? *Will you need your Nanny or Family Assistant on your vacation? *YesNoPossiblyHow often do you vacation and where? *Will summer change the schedule for your Nanny or Family Assistant? *YesNoPossiblyPlease describe what the summer schedule will be.Will you require your Nanny or Family Assistant to care for sick children? *YesNoPossiblyWhich of the following are most important to you as your Nanny's or Family Assistant's duties? *Keep children entertained and engagedTutoring children and organizing daily lesson plansHelp with homeworkCreative and educational games and playtimeBath Time and nap/sleep routineTransporting children to and from school, activities, etc.Light housekeeping (pick up after children)Children's laundryPreparing children's meals and snacksGrocery shopping and occasional errandsPersonal Assistant workHouse management and overseeing other employeesPlease list five qualities that are important to you in a Nanny or Family Assistant:1) Quality important to you in a Nanny or Family Assistant:2) Quality important to you in a Nanny or Family Assistant:3) Quality important to you in a Nanny or Family Assistant:4) Quality important to you in a Nanny or Family Assistant:5) Quality important to you in a Nanny or Family Assistant:Please list any additional information or responsibilities specific to your family situation that the nanny or Family Assistant should be aware of.Please Select *How many children to you have?12345Additional Household InformationDo you have any household pets?YesNoPlease list the type and size of any household pets. If you do not have any pets please list N/A. *Is your household: *SmokingNon-SmokingDo you have a housekeeper? *YesNoHow did you hear about us? *Send Message
