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Seattle Nanny Network, Inc. The Puget Sound area's Ultimate Resource for Families
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Online Application

 
Parent One (first, last):
Parent Two (first, last):
Address:
City:
State:   Zip:
Home Phone:
Home Fax:
e-mail:

Parent 1
 
Business Phone:   Ext:
Business Fax:
E-mail:

Parent 2
 
Business Phone:   Ext:
Business Fax:
E-mail:

Schedule Type:

Full Time (35+ hours per week)
Part Time (Less than 35 hours per week)
Temporary

Schedule:

Mon-Fri
Flexible
Over Night(s)
Other:

Hours:

Approximate start date of job:
End Date: Yes   If Yes, when:
No

Proposed salary bracket of job
(hourly, monthly, yearly):


Number of children:

Age and Gender of Each Child:

Is a baby due:

Yes
No
Date Due:
Future Possibility

Are there any illnesses, allergies, syndromes, behavior patterns, mental, emotional, or physical disabilities or other special needs that the nanny will have to be alert for, care for or be specially trained for? If so, please describe them as accurately as possible:


The age range I prefer is: *
* Subject to availability     

No preference
21-25
26-30
31-40
41+
Aside from childcare, a normal nanny position includes laundry for the children, meals for the children and cleaning the kitchen after the meals, maintaining the children's bathroom, children's rooms and play areas and any misc. duties related to the children. The nanny's own room and bathroom, if applicable, are also her responsibility. Are you expecting any other housekeeping duties from the nanny? If so lease list them in detail:

Do you have a house cleaner or service?

Yes
No
How many X per month:
Have you had caregivers before? Yes
No
Why did they leave the position?
How many caregivers have you had in the last three years?
Were there any problems with you previous caregivers?
Is it possible to speak with one of you prior employees?
Do you have a security system in you home? Yes
No
Do you have privacy/security issues that may affect the type of nanny we would refer to you? Is so please explain:
Please X only one: I am registered with other agencies and/or intend to seek nanny candidates through alternative sources.
I am working exclusively with The Seattle Nanny Network, Inc. to secure a nanny.
I prefer to interview nanny candidates: At Home
Other
The best times for me to interview candidates are: Evenings
Days
Weekends
Week-days
Best Times:

How did you hear about the Seattle Nanny Network?

Personal Referral?
(Who may we thank for the referral?)

More:
Yellow Pages
Seattle Times / PI
Seattle Weekly
NW Baby and Child
Parent Map
Seattles Child
Eastside Parent
Google
Yahoo
General Internet Search
Other

If 'Other', please provide below:

  *Please note:

This is an initial application form.
An extended application must be completed upon acceptance for interview.

Please check over the information in this form now.

Questions? Please call 425-803-9511 or email info@seattlenanny.com