Nanny Pre-Screening Form - AMP Placement

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Who We Are
- Our Mission
- Our Nannies
What We Do
Locations
- DC (DMV)
- Richmond
- Tidewater
- Ohio
- Georgia
Pricing
- Temporary Pricing
  - DC (DMV)
  - Ohio
  - Tidewater
  - Richmond
  - Georgia
- Permanent Pricing
  - DC (DMV)
  - Ohio
  - Tidewater
  - Richmond
  - Georgia
Payment
Contact
Login
Blog

Nanny Pre-Screening Form

Use this form if you have been instructed to do Pre-Screening by our recruitment specialist.

CANDIDATE PRE-SCREENING - ON CALL NANNY

First Name

Last Name

Phone Number

Email

What is your Zip Code?

Years of Experience

PRE-SCREENING INTERVIEW QUESTIONS (ON-CALL NANNY)

Do you have a physical social security card?

Yes No

Do you have a clean driving record?

Yes No

Are you willing to work on-call knowing we can't give you a set schedule?

Yes No

Are you willing to work on-call knowing we may not have jobs every day?

Yes No

Do you currently work any other jobs?

Yes No

Are you infant-child CPR/First Aid Certified?

Yes No Need to Recertify

What age groups are you comfortable caring for?

0-1 years old 2-4 years old 5-10 years old 11-15 years old 15+ years old

Where did you obtain your childcare experience?

Why are you interested in this position?

When will you be able to pay for a background check ($38)

All candidates MUST be 18 years or older. Please confirm with yes or no

Yes No

Is the starting salary of ($18) per hour acceptable?

Yes No

Do you drive your own insured vehicle and license?

Yes No

Are you willing to drive 45min-1 hour on occasions? Travel incentive of $10-$30

Yes No

Would you be able to provide us availability Mon-Fri (8am-6pm)?

Yes No

Are you willing to work in a home with a cat or dog?

Dog Only Cat Only Both Neither

Are you fully vaccinated or intend to become?

Yes already vaccinated No No but plan to become vaccinated

What day will you be able to start working?

How many childcare references can you supply?

Application Information

Which position are you interested in?

City You Currently Reside In?

Years of Experience

What is the highest level of education you have completed?

Have you taken the Covid-19 vaccine?

Yes No Rather not say

Candidate Travel & Shift Form

Only Check Locations you are Willing to Travel to for Assignments; Disregard areas outside of your ability to travel to. If the Location is an hour or more, a travel incentive will be included in your pay. Select the shifts you are able to work

Which area are you more interested in?

DMV & Richmond Areas ( DC, MD, No. VA. & Nokesville, VA) Tidewater Area (Hampton - Chesapeake & Surrounding Areas & Franklin, VA. & Smithfield, VA) West VA Ohio Baltimore FairFax Anne Arundel Co. Charles Co. Howard Co. Montgomery Co. PG County

Please note any special comments about your travel area preferences if you have any.

Work Shifts

Weekdays

1ST SHIFT (7:30 AM - 6:30 PM) 2ND SHIFT 5:30 pm - 12 midnight 3RD SHIFT 12 am - 12 am (24 hrs.) After your full-time job Can work overnights Cannot work overnights None of these times

Shifts - Weekends

Weekends

1ST SHIFT (7:30 AM - 6:30 PM) 2ND SHIFT 4 pm - 12 midnight 3RD SHIFT 12 am - 12 am (24 hrs.) None of these times Can work overnights Can work overnights Option 6

Shift - Holidays

Holidays

1ST SHIFT (7:30 AM - 6:30 PM) 2ND SHIFT 4 pm - 12 midnight 3RD SHIFT 12 am - 12 am (24 hrs.) None of these times

General Weekly Availability

Days you can work

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

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Important Policies

Our Locations

DC (DMV)
Richmond
Tidewater
Ohio
Georgia

Further Inquiries?

info@ampplacement.com (General Inquiries)
Ph. & Text : (301) 744-9267
Candidate Ph. & Text : ‪(301) 836-1178

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