Families application Chicago

Name

Email

Name of Spouse or Partner

Primary Phone

Parent Occupations

Address

City, State ZIP

Number of Children

Ages of Children

Children's Names

If you have a child or children with special needs, please explain

If your children have any medical conditions, please explain

Please describe each child

Explain your family schedule

Please describe any household tasks your nanny will be expected to perform

Please describe your family philosophies regarding childcare, discipline, etc.

If your child needs to be taken to activities or school, please explain

Do you encourage play dates? If so, in your home or away?

If the nanny works additional hours, please explain the pay rate for overtime

Will the nanny have paid sick leave? Please explain

If nanny will paid vacation, please explain

If nanny will have holidays, please explain

If live-in, will the nanny have his or her own bedroom and bathroom?

Please explain any special privileges given to the nanny

Describe your home

Describe your neighborhood

If family has had a previous nanny, please explain how long each nanny was with your family

Describe a few positive situations you shared with your nanny

Describe a few negative situations you shared with your nanny

Describe your overall experience with nannies

Do you have someone who comes to clean?

Yes
No

Will your nanny be expected to prepare meals?

Yes
No

Will your nanny be expected to travel with the family?

Yes
No

If yes, please explain

Do either you or your spouse work from home?

Yes
No

Is there public transportation?

Yes
No

Does the nanny need their own car?

Yes
No

Do you have a nanny car?

Yes
No

Nanny's Hours: From/To

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Total Hours per Week

How did you hear about us?

Olive You Nanny

Olive. You. Nanny. A Unique Nanny Agency