Care Givers Placement Agency, Inc.

"We spent two months searching for a nanny on our own. Then we called Care Givers and found our nanny within one week of interviewing. Now my daughter is happy." Hannah,
mother of toddler

Mother and Daughter

Permanent Nanny Placement :: Apply to Hire a Nanny

Directions:
To hire a long-term, permanent nanny please complete the following information:

Note:If you prefer to submit an application manually, rather than electronically please click here, print, fill out, and mail in or fax to our office.
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* - Required

Your Name:*
Street Address:*
City:
Zip:*
E-Mail Address:*
Home Phone:*
Cell Phone :
Occupation:
Company Name :
Work Phone :
Work Fax :

Spouse/Partner Name:
Occupation:
Company Name:
Work Phone:
Cell Phone :

How did you hear about us?:*

At least one row needs to be completed.*
Child's Name:*	Date of Birth:*	Special Needs:*

Pets Indoors:

When do you need a nanny to start?:*

What schedule (i.e. 7am-5pm) do you need your nanny to work?:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Please explain any flexibility you need with your schedule:

Please explain any travel requirements with this job:

Does either parent work at home?:

If yes, please explain:

Please describe your salary and benefits package:

Salary Range:

$
Per Month (typically used for FT nannies)

OR

$
Per Hour (typically used for PT nannies)

Health Insurance stipend:
$150/month
$100/month
Other:

Vacation and Holiday Time:
Family will continue to pay the nanny's salary when we are out of town or she is not needed. This will provide at least paid days off a year.

Number of days per year for nanny's paid personal time off:

Paid legal holidays will include Memorial Day, 4th of July, Labor Day, Thanksgiving, Christmas, New Year's Day, and:

Do you provide a car?

Does your family employ a housekeeper weekly bi-weekly

Please describe the housekeeping/ cooking responsibilities that are needed for your children:

Please describe any additional household responsibilities:

What forms of childcare have you used in the past? Have these been good childcare experiences?:

How long do you plan to employ a nanny for your family?

Please describe your child's typical daily schedule:

Please describe the activities that your children are involved in
on a regular basis (friends, outings, classes, etc.):

Which of these activities does the nanny take charge of?:

What is your child's school schedule? Transportation Requirements?:

Please describe your home/yard/street/neighborhood for the nanny:

What modes of discipline do you use? Are there specific behavioral
conditions that the nanny should know about?:

Is any child or anyone in your household under the care of a physician
or mental health professional for any physical, emotional, developmental, or behavioral issues?:*

If yes, please explain and list any special care, allergies and/or medications:

What will a nanny appreciate most about your family?:

What should we know that would help make a successful placement?:

I have read and agreed to the Permanent Placement Service Contract terms and conditions, understand and agree to accept them.*

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