Nanny Job Application

We take the hassle out of job hunting

» services for nannies / job application

The application process starts by completing this preliminary application. To be placed by Care Givers Agency, you'll need to have a proven work history showing an energetic, enthusiastic attitude toward working with children. All applicants must possess a minimum of 2 years recent and verifiable childcare experience working with children ages 0-5, have the ability to be actively engaged with the children at all times anddrive a car that is safe for children. Please fill out the form below so that we can find out more about you and the type of position that fits your needs.

If you used to work with Care Givers Placement Agency please skip this form and call us at 503-244-6370.

Nanny Job Application

PERSONAL INFORMATION

* - Required
Legal Name: *First
Middle
 *Last
Home Address: *Number and Street
Apt. #
  *City
 *State
*Zip Code
*Phone:        
*Email :

*How did you hear about Care Givers Placement Agency?

WHAT TYPE OF AN ARRANGEMENT ARE YOU LOOKING FOR?
Are you looking for a
(select one)

live-out or live-in position?

  
Are you looking for (select one)
full-time (more than 35 hrs/wk) or

 part-time (less than 35 hrs/wk)
Do you want to work a
fixed or flexible schedule?

     
Can you make a commitment (select one)
1-2 years, longer than 2 yrs, or

 less than 1 year?
What date are you available to
 Start work?
Stop working?

Please describe your availability at this time:
MON
to
 AM PM      
TUES
to
 AM PM      
WED
to
 AM PM      
THURS
to
 AM PM      
FRI
to
 AM PM      
SAT
to
 AM PM      
SUN
to
 AM PM      

WHAT IS YOUR GROSS SALARY REQUIREMENT?
Annually
Amount:      
Hourly
Amount:      

DO YOU HOLD A CURRENT DRIVER'S LICENSE? Yes No 		 
DO YOU HAVE YOUR OWN VEHICLE? Yes No  
HAVE YOU EVER BEEN CONVICTED OF A CRIME? Yes No  

PLEASE PROVIDE INFORMATION ABOUT YOUR THREE MOST RECENT CHILDCARE POSITIONS:


Employer/Company

Job Title

Start Date

End Date
Total Hrs/Wk

City, State
 Children's Ages (at start)

PLEASE PROVIDE INFORMATION ABOUT ANY ADDITIONAL CHILDCARE EMPLOYMENT:


Employer/Company

Job Title

Start Date

End Date
Total Hrs/Wk

City, State
 Children's Ages (at start)

Please describe any other relevant work experience:

EDUCATION - CHECK ALL THAT APPLY
GED      
HIGH SCHOOL      
SOME COLLEGE      
ASSOCIATES DEGREE MAJOR
BACHELORS DEGREE MAJOR
 MINOR
MASTER'S DEGREE DEGREE

CERTIFICATIONS OR LICENSES
NANNY CERTIFICATION      
TEACHING CERTIFICATION      
INFANT AND CHILD CARE CPR Yes No
FIRST AID Yes No

Please tell us why you are looking for a nanny position and what skills you would bring to a family/household:

Click the button below to submit your information.