Nanny Application Form

Applying for a nanny job? If so, you need to follow our guide and fill out the nanny application form.

Questions for Nanny Application Form

1.

Name

The answer should be a text input.
2.

Gender

The answer should be a single choice:
  1. Male
  2. Female
  3. Other
3.

Address

The answer should be a text input.
4.

City

The answer should be a text input.
5.

State/Province

The answer should be a text input.
6.

Postal/Zipcode

The answer should be a number input.
7.

Telephone number

The answer should be a phone number.
8.

Cell Phone number

The answer should be a phone number.
9.

Available starting date

The answer should be a date input.
10.

Hours available to work per day

The answer should be a number input.
11.

Days available to work per month

The answer should be a number input.
12.

Desired salary range

The answer should be a text input.
13.

Do you smoke?

The answer should be a single choice:
  1. Yes
  2. No
14.

Do you have cooking skills?

The answer should be a single choice:
  1. Yes
  2. No
15.

Are you legally eligible to work?

The answer should be a single choice:
  1. Yes
  2. No
16.

Do you have a driving licence?

The answer should be a single choice:
  1. Yes
  2. No
17.

Have you ever lived away from home before?

The answer should be a single choice:
  1. Yes
  2. No
18.

If YES, how far away?

(In hours or miles)

The answer should be a text input.
19.

Do you have any medical condition that could affect your ability to care for children?

The answer should be a single choice:
  1. Yes
  2. No
20.

If YES,Please explain

The answer should be a text input.
21.

Have you had to handle an emergency of any kind?

The answer should be a single choice:
  1. Yes
  2. No
22.

If YES,Please explain

The answer should be a text input.
23.

Signature of Applicant

The answer should be a signature.
24.

Date

The answer should be a date input.

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