Care Givers Placement Agency Specializing in Permanent and Temporary Nanny Placements
  Portland, OR and Vancouver, WA Metro Areas Care Givers Placement Agency
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"You were very supportive and customer service oriented. The pre-screening and ability to match up applicants with potential families saves a lot of time for families." Stephanie,
mother of infant twins

Photo of children

Services for Nannies :: Nanny Application

If you are already a Care Givers' Nanny whom we placed on a job or if you have been interviewed in our office, please skip this form and call us at 503-244-6370. We want to hear from you again and get your job search started immediately.

If you are new to Care Givers Placement Agency, we would like to find out more about you and the type of position that fits your needs. To start your job search please fill in this preliminary nanny application. We look forward to hearing from you!


PERSONAL INFORMATION

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

WHAT TYPE OF AN ARRANGEMENT ARE YOU LOOKING FOR?
Live-out

 Live-in
Full-time
More than 35 hrs/wk

 Part-time
35 hrs/wk or less

  
Permanent
One year or longer
 Temporary
Less than one year
  

Dates available:
From:
To:

If Part-time, what is your availability?

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

DO YOU HOLD A CURRENT DRIVER'S LICENSE?
DO YOU HAVE YOUR OWN VEHICLE?
HAVE YOU EVER BEEN CONVICTED OF A CRIME?
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)

CHILD RELATED EXPERIENCE-CHECK ALL THAT APPLY
NANNY Yrs of Experience
 Children's Ages
DAYCARE TEACHER Yrs of Experience
 Children's Ages
BABYSITTER Yrs of Experience
 Children's Ages
SCHOOLTEACHER Yrs of Experience
 Grades Taught
INSTRUCTOR (dance, swimming, art, etc.) Explain:

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
FIRST AID

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.
   

Send us an email at info@cgpa.com
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phone: 503-244-6370     fax: 503-244-6856     info@cgpa.com
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