Full-Time Nanny Questionnaire

First Name

Last Name

Cell Ph. No.

Email

Are you over 18 yrs. of age?

City You Currently Reside in?

What is the highest level of education you have completed?

If hired, how long can you commit to the position?

Do you drive your own insured vehicle?

Are you currently working?

Where do you currently work?

What ages have you provided care for?

How many child care related references to you have?

Do you need to update your CPR/1st Aid certification or is it current?

Do you have any other certifications or degrees? If so, which ones?

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