Dear Nanny,
Thank you for your interest with Nanny Brokers USA
We believe that your Career , Prosperity and well being as a Nanny are just as important as the Clients we work
with.
To register with us, you MUST have:
*Be at least 21 yrs of Age or older
*Have At least (2) years of experience in Childcare
*Drive and have your own dependable car
*Have a valid drivers license , and current auto insurance
*Agree to a Background Check
*Have NO criminal history and a safe driving record
*Be certified in CPR/First Aide or be willing to obtain it within 30 days
*Be legal to work in the USA, Must have valid ID, passport, valid immigration card, or alien certificate
* Have a cell phone so we may contact you IMED if we have emergencies or available last min jobs.
Upon arriving to your interview Please make sure you have photo copies for us to keep of your Drivers License,
Social security card , Green card and/or passport and work visa.
We look forward to working with you !!!
Sincerely,
Nanny Brokers USA
(404) 454-4268
Fax (770) 818-5764
Keep scrolling DOWN to view and print complete Employment
Application
Nanny Brokers Employment Application
(Please print and Fax or E-mail your application to us. Once we receive it we will contact you for a personal interview.
(404)454-4268 Fax (770) 818-5764 email admin@nannybrokers.com
Childcare/Elder Care Employment 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_____
Nanny____ Nanny/HouseKeeper_____Housekeeper___ Temp Sitter_____
New Mother /New Baby Care_____ Elderly Care___ Other______
Salary Desired Per Hour $______
Salary Desired Per Week $_______
I would like to Start by:_________
I would Like my Employer to with hold my taxes____
I would Like to report my own taxes______
Areas you would consider working in___________________________________________
( Please understand that in Atlanta, most jobs and driving distance is 30-45 mins on average)
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__________________________
(404) 454-4268