Dear Prospective Caregiver/Sitter,
Thank you for your interest in Nanny Brokers USA
What is a Temp Nanny?
A Temp Nanny is used for Hotel Care Positions, Sick Childcare and times the Parents want to go out for an evening
or to a meeting.
To Register with our Agency please Meet or Exceed the following requirements:
Some of the wonderful Benefits you will enjoy work with our Agency:
Upon arriving to your interview Please make sure you have Photo copies for us to keep of your :
email admin@nannybrokers.com
Keep scrolling DOWN to view , print and complete the Application
---------------------------------------------------------------------------------------------------------------------------
Nanny Brokers Work Application
Please print and bring this completed application with you to the interview, along with the photo copies of what we willneed from you. You may call 334 208-9877 to find out where and when our next interview dates in your area will
be
____________________________________________________________________________________________
Childcare/Elder Care Work Application
Date________
Please check all that apply:
I am Seeking : FT Live Out____ PT Live Out____Live In___ 12hr Live in____24 hr Live In______
Day Temp_____ Afternoon Temp____ Evening Temp_____
Salary Desired Per Hour $______
Salary Desired Per Week $_______
I would like to Start by:_________
Areas you would consider working in___________________________________________
Name_______________________________________________
Address________________________________________________________________
County you live in_______________________________
City_________________________________________State______________Zip_____
Home Phone___________________Cell#__________________Pgr#_______________
Education
Elementary School______________________________________Year From-To____
High School_____________________________________Year From____To____
Did you Graduate?______ Year______
College_______________________________________
_______________________________ From ____ To________ Did you Graduate?____
_______________________________ From ____ To________ Did you Graduate?____
_______________________________ From ____ To________ Did you Graduate?____
_______________________________ From ____ To________ Did you Graduate?____
Total years of childcare/elder Experience___________
Formal Education Yes ____ No ____
Some College Yes ____ No____
Total Years as a Nanny/Caregiver________ if less than 2 yrs, List other Caregiver related experience below.
________________________________________
I am CPR certified Yes_______ No________ I am willing to take a class_______
I am First Aide Certified Yes________ No________ I am willing to take a class_______
I will work In the following areas of town:
_______________________________________________________________________
I will relocate to any city for a Live in Position Yes___ No___ Depends______
Locations I will
consider_________________________________________________________________________
(Please check all that you are willing to do in a position)
I am willing to :
Drive___
Cook for the person in my care___Cook for the Family___
Will help with housework for the person in my care____
Help with housework for the Family___
Work evenings___Work weekends____Work with Pets_____
Commit to a One year assignment___
Sign a contract for the right Family____
Travel with the Family___
Relocate with the Family____
Drive to appts_____
I am able to assist with:
Teach reading/writing___
Teach social skills___
Help with homework__
Swim with the children____
Play with the Children___
Transport ___ Dressing____ Feeding_____
I am interested in being a Caregiver because:________________________________________
I describe my personality as :__________________________________________________
My hobbies and special interests are:_________________________________________
My future goals are:________________________________________________________
.
Caregiver Work Experience
Below please list your related experience
-----------------------------------------------------------------------------------------------
1.Employer_________________________________Phone____________
Dates of employment started_____________ Until _________________
Reason you left this position?_________________________________________________
_______________________________________________________________________
Childrens/Elder ages_____________
Describe the work you preformed :
____________________________________________________________________________________________
__________________________________________________
Address________________________________________________________________
City________________________State__________Zip___________________________
----------------------------------------------------------------------------------------------------------------
2. Employer_________________________________Phone____________
Dates of employment started_____________ Until _________________
Reason you left this position?_________________________________________________
_______________________________________________________________________
Childrens/Elder ages_____________
Describe the work you preformed :____________________________________________
Address________________________________________________________________
City________________________State__________Zip___________________________
--------------------------------------------------------------------------------------------
3.Employer_________________________________Phone____________
Dates of employment started_____________ Until _________________
Reason you left this position?_________________________________________________
_______________________________________________________________________
Childrens/Elder ages_____________
Describe the work you preformed :____________________________________________
Address________________________________________________________________
City________________________State__________Zip___________________________
Non Related Experience
1.Employer_________________________________Phone____________
Dates of employment started_____________ Until _________________
Reason you left this position?_________________________________________________
_______________________________________________________________________
Job Title_____________________________
Describe the work you preformed :
____________________________________________________________________________________________
__________________________________________________
Address________________________________________________________________
City________________________State__________Zip___________________________
----------------------------------------------------------------------------------------------------------------
2.Employer_________________________________Phone____________
Dates of employment started_____________ Until _________________
Reason you left this position?_________________________________________________
_______________________________________________________________________
Job Title_____________________________
Describe the work you preformed :
____________________________________________________________________________________________
__________________________________________________
Address________________________________________________________________
City________________________State__________Zip___________________________
----------------------------------------------------------------------------------------------
3.Employer_________________________________Phone____________
Dates of employment started_____________ Until _________________
Reason you left this position?_________________________________________________
_______________________________________________________________________
Job Title_____________________________
Describe the work you preformed :
____________________________________________________________________________________________
__________________________________________________
Address________________________________________________________________
City________________________State__________Zip___________________________
Sinature_____________________________________Date__________________________
Please bring the completed Application along with requested documents to the
Interview we will schedule for you (334) 208-9877
email admin@nannybrokers.com
Thank you for your interest in Nanny Brokers USA
What is a Temp Nanny?
A Temp Nanny is used for Hotel Care Positions, Sick Childcare and times the Parents want to go out for an evening
or to a meeting.
To Register with our Agency please Meet or Exceed the following requirements:
 | You will work as a Independent Contractor which allows you to keep all the money you earn ! | |
| Have at least 3 years of PAID childcare references we can verify | |
| Agree to a complete Background check including random Drug testing | |
| Be CPR Certified or willing to get it before you start working | |
| You will need to have a car with insurance | |
| You will need to have a cell phone so we may contact you if we have emergencies or last min jobs |
Some of the wonderful Benefits you will enjoy work with our Agency:
 | Great Pay & a (4) hour minimum per booking | |
| Job Flexibility | |
| Freedom to work only when your schedule allows | |
| Work only where you want | |
| Job safety |
Upon arriving to your interview Please make sure you have Photo copies for us to keep of your :
- Completed Employment Application
- Drivers License
- Social security Card
- CPR/First Aide Certificates
- Car Insurance
email admin@nannybrokers.com
Keep scrolling DOWN to view , print and complete the Application
---------------------------------------------------------------------------------------------------------------------------
Nanny Brokers Work Application
Please print and bring this completed application with you to the interview, along with the photo copies of what we will
be
____________________________________________________________________________________________
Childcare/Elder Care Work Application
Date________
Please check all that apply:
I am Seeking : FT Live Out____ PT Live Out____Live In___ 12hr Live in____24 hr Live In______
Day Temp_____ Afternoon Temp____ Evening Temp_____
Salary Desired Per Hour $______
Salary Desired Per Week $_______
I would like to Start by:_________
Areas you would consider working in___________________________________________
Name_______________________________________________
Address________________________________________________________________
County you live in_______________________________
City_________________________________________State______________Zip_____
Home Phone___________________Cell#__________________Pgr#_______________
Education
Elementary School______________________________________Year From-To____
High School_____________________________________Year From____To____
Did you Graduate?______ Year______
College_______________________________________
_______________________________ From ____ To________ Did you Graduate?____
_______________________________ From ____ To________ Did you Graduate?____
_______________________________ From ____ To________ Did you Graduate?____
_______________________________ From ____ To________ Did you Graduate?____
Total years of childcare/elder Experience___________
Formal Education Yes ____ No ____
Some College Yes ____ No____
Total Years as a Nanny/Caregiver________ if less than 2 yrs, List other Caregiver related experience below.
________________________________________
I am CPR certified Yes_______ No________ I am willing to take a class_______
I am First Aide Certified Yes________ No________ I am willing to take a class_______
I will work In the following areas of town:
_______________________________________________________________________
I will relocate to any city for a Live in Position Yes___ No___ Depends______
Locations I will
consider_________________________________________________________________________
(Please check all that you are willing to do in a position)
I am willing to :
Drive___
Cook for the person in my care___Cook for the Family___
Will help with housework for the person in my care____
Help with housework for the Family___
Work evenings___Work weekends____Work with Pets_____
Commit to a One year assignment___
Sign a contract for the right Family____
Travel with the Family___
Relocate with the Family____
Drive to appts_____
I am able to assist with:
Teach reading/writing___
Teach social skills___
Help with homework__
Swim with the children____
Play with the Children___
Transport ___ Dressing____ Feeding_____
I am interested in being a Caregiver because:________________________________________
I describe my personality as :__________________________________________________
My hobbies and special interests are:_________________________________________
My future goals are:________________________________________________________
.
Caregiver Work Experience
Below please list your related experience
-----------------------------------------------------------------------------------------------
1.Employer_________________________________Phone____________
Dates of employment started_____________ Until _________________
Reason you left this position?_________________________________________________
_______________________________________________________________________
Childrens/Elder ages_____________
Describe the work you preformed :
____________________________________________________________________________________________
__________________________________________________
Address________________________________________________________________
City________________________State__________Zip___________________________
----------------------------------------------------------------------------------------------------------------
2. Employer_________________________________Phone____________
Dates of employment started_____________ Until _________________
Reason you left this position?_________________________________________________
_______________________________________________________________________
Childrens/Elder ages_____________
Describe the work you preformed :____________________________________________
Address________________________________________________________________
City________________________State__________Zip___________________________
--------------------------------------------------------------------------------------------
3.Employer_________________________________Phone____________
Dates of employment started_____________ Until _________________
Reason you left this position?_________________________________________________
_______________________________________________________________________
Childrens/Elder ages_____________
Describe the work you preformed :____________________________________________
Address________________________________________________________________
City________________________State__________Zip___________________________
Non Related Experience
1.Employer_________________________________Phone____________
Dates of employment started_____________ Until _________________
Reason you left this position?_________________________________________________
_______________________________________________________________________
Job Title_____________________________
Describe the work you preformed :
____________________________________________________________________________________________
__________________________________________________
Address________________________________________________________________
City________________________State__________Zip___________________________
----------------------------------------------------------------------------------------------------------------
2.Employer_________________________________Phone____________
Dates of employment started_____________ Until _________________
Reason you left this position?_________________________________________________
_______________________________________________________________________
Job Title_____________________________
Describe the work you preformed :
____________________________________________________________________________________________
__________________________________________________
Address________________________________________________________________
City________________________State__________Zip___________________________
----------------------------------------------------------------------------------------------
3.Employer_________________________________Phone____________
Dates of employment started_____________ Until _________________
Reason you left this position?_________________________________________________
_______________________________________________________________________
Job Title_____________________________
Describe the work you preformed :
____________________________________________________________________________________________
__________________________________________________
Address________________________________________________________________
City________________________State__________Zip___________________________
Sinature_____________________________________Date__________________________
Please bring the completed Application along with requested documents to the
Interview we will schedule for you (334) 208-9877
email admin@nannybrokers.com