Family Nanny Application

Application Date*
Position Start Date*
We are looking for the following nanny:*
- Live-in
- Live-out
Parent/Guardian 1 Name*
First Last
Parent/Guardian 2 Name
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Preferred Contact Phone Number*
Secondary Contact Phone Number
Parent/Guardian 1 Email*
Parent/Guardian 2 Email
Parent/Guardian 1 Occupation*
Parent/Guardian 2 Occupation

Nanny Related Information
What do you anticipate the nanny's child care responsibilities to be?*
Please be specific including meal prep, driving needs and anything additional to childcare.
What housekeeping responsibilities would you like the nanny to have?*
If you are an at home parent, or working part-time, please describe what portion of the time you and the nanny will be working together. What responsibilities will be hers during this time you're at home?
What characteristics are you looking for in a nanny?*
References
Please include a reference for your prospective nanny to call, should she wish to do so. If you have had a nanny, please list him/her as the reference.
Name*
First Last
Relationship to you:*
Reference Phone*
How did you hear about Boston Baby Nurse?

The care of your babies and children is our top priority.