Join The Trendy Nanny Team

Full Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you open to Live-in or Live-out: *

Live-in

Live-out

Are you open to Part-time/Full-time: *

Part-time

Full-time

APPLICATION DETAILS *

Are you at least 18 years of age or older?

Yes

No

Are you legally eligible to work in the US? *

Yes

Ye

Do you have valid drivers license? *

Yes

No

Do you currently hold a valid passport? *

Yes

NO

Are you open to travel for work? *

Please select the option that best describes you:

I’m open to local travel only.

I’m available for both domestic and international travel.

I have a valid passport and can travel internationally if needed.

I’m able to travel but prefer not to work while traveling.

I am not able to travel.

Have you ever had a moving violation or driving related violation or traffic accident (include tickets)? *

Yes

No

Have you had a DUI/DWI in the last 10 years? *

Yes

No

Have you ever been convicted of a felony and/or misdemeanor? *

Yes

No

Have you ever been the subject of a substantiated complaint or sexual abuse? *

Yes

No

Do you smoke? *

Yes

No

CPR/First Aid Certification *

Do you have a current CPR and/or First Aid certification?

Yes, and I’ve uploaded a copy below.

Yes, but it has expired—I need to renew.

No

CPR/First Aid expiration date:

MM

DD

YYYY

Are you comfortable with children who are mildly ill? *

Yes

No

Have you been immunized against the common childhood disease? *

Yes

No

Do you have any medical conditions that could affect your ability to care for children?

Yes

No

Duties Willing to Undertake: *

Infant Care

Toilet Training

Children's Meals

Driving Children

Bathing Children

Wearing Uniform

Travel

Weekend/On-call sitting

Evening Sitting

Do you have experience with special needs? *

Yes

No

CANDIDATE AGREEMENT & ACKNOWLEDGMENT *

Please carefully review and sign both agreements before submitting your application!

I, certify that I have answered all the questions on this application accurately and to the best of my knowledge. I have not withheld any information which would cause the information give above to be misleading. In the event of my employment as a result, in full or in part, from the information contained on this application, I understand that any inaccurate or misleading information is grounds for immediate termination of employment.

Today's Date * *

MM-DD-YYYY

MM

DD

YYYY