Live in nanny,Live out nanny,Housekeepers,Domestic care,Party helpers,Baby nurses in New York-New Jersey

Desired Start Date:

How did you hear about Noble Nanny?

Mother's Full Name:

Father's Full Name:

Address:

Home Phone:

Cell Phone:

Father's Occupation:

Place of Employment:

Work Phone:

Mother's Occupation:

Place of Employment:

Work Phone:

Please Describe Your Children (Name, Age, Gender):

Have you ever employed a nanny? Yes No

Do you observe any religious dietary laws or have dietary restrictions in your home?
Yes
Please Explain:
No

Will the nanny have use of a vehicle? Yes No

Will the nanny be covered by your car insurance? Yes No

Is there access to public transportation? Yes No
Type:

Position:

Hours of work per week:

Start Time: End Time:

Is evening care required?
Yes
How Often?
No

Days Off:

Weekly Salary:

Hourly Salary:

Part-Time:

Overtime Pay:

Overnight Pay:

Benefits & Perks: (i.e., health insurance, phone allowance, cable, travel with family, tuition, paid vacation, holidays off, bonus, etc.)

Please list the qualities you are looking for in a nanny:

What accommodations will you provide your nanny? (i.e., bedroom, private or shared bath, TV, phone)

Are there smokers in the house? Yes No

Do you have pets?
Yes
Please specify:
No

List caregiver duties and responsibilities regarding your children: (i.e., activities, transportation, etc.)

List housekeeping duties:

List any other information that would help us in making a successful placement for your family: