Part-time Nanny/Babysitter Questionnaire

Submit this form for part-time position

First Name

Last Name

Cell Ph. No.

City You Currently Reside in?

Sex

Are you over 18 yrs. of age?

Years of Experience caring for toddlers?

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

What is the highest level of education you have completed?

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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