Family Nanny Application

Choose your location *

New York (Please select where you currently live):

New York City
Brooklyn
Westchester
Long Island

New Jersey:

Northern
Bergen, Hudson, Essex, Union, Morris, Somerset, Middlesex Counties
Central
Monmouth, Mercer, Ocean Counties

Connecticut:

Fairfield County

Desired Start Date:

ASAP

We are looking for (Please check):

This position is (Please check):

Live-in
Live-out
Driver
Non-driver

Full Time
Part Time
Weekend
Temporary

Contact Information

Parent #1 Full Name: *:

Parent #2 Full Name:

Street Address:

City, State, Zip:

Home Phone Number:

Parent #1

Occupation:

Cell Phone Number:

Office Phone Number:

Email: *

Parent #2

Occupation:

Cell Phone Number:

Office Phone Number:

Email:

Please tell us how you heard about Absolute Best Care Agency:

Please provide us with the name of the source:

Children's Information

Child 1:

Child's Name:

Month Day Year

Date of Birth:

Grade:

Gender:

Male Female

Special Interests/Hobbies:

Child 2:

If any of your children have special needs, please explain:

Are you expecting any more children within the next year?

What responsibilities will the nanny have?

What qualities are you looking for in a nanny?

Driving Details:

If a driver, will a car be provided? yes no

Accommodations to be provided:(If applicable)

Private bedroom
Private bathroom
Shared bathroom

Phone
Health Insurance
Paid Travel with Family

Other - please explain:

Have you ever employed a nanny before?

Please tell us what you liked about your previous nanny:

Please tell us what you disliked about your previous nanny?

For what reason is the nanny no longer in your household?

If you have any dietary restrictions in your household, please explain:

If you have any household pets, please explain (dogs - please list weight):

Work Schedule

Monday-Friday Custom Schedule

Start Time:

End Time:

Monday

Start Time:

End Time:

Tuesday

Start Time:

End Time:

Wednesday

Start Time:

End Time:

Thursday

Start Time:

End Time:

Friday

Start Time:

End Time:

Saturday

Start Time:

End Time:

Sunday

Start Time:

End Time:

Please provide any additional information:

Weekly GROSS Salary Range (if uncertain, provide a range):

Hourly Rate: