| Name |
|
| Address |
|
| Daytime
phone |
|
| Evening
phone |
|
| Mobile
phone |
|
| Best time to
call |
|
| Email
address |
|
| Please
describe children - i.e. ~ names, ages, genders, school hours,
special circumstances, etc. |
|
| Have you ever
employed a nanny before? |
yes
no |
| Will Nanny need to
drive and provide her own car? |
yes no
|
| Required start
date |
|
|
Nanny services
desired: |
|
Live in Live Out Full time
Part time
short term long term |
| What
salary range are you prepared to pay?
|
| Please
describe ideal nanny schedule: |
|
| Please describe
nannies intended responsibilities: |
|
| Please describe the
best nanny for your situation: |
|
| List all family pets:
|
