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Name *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email *
Phone *
How did you hear about us? *
Best time to contact you? *
What type of work are you looking for? *
Are you interested in a Nanny Share position? *
YesNo
Age of children you like to work with *
How many years of childcare experience do you have?
Less than 3 years3-5 years5-10 years10 - 20 years20+ years
Years of experience with infants
Years of experience with toddlers
Years of experience with PreK
Years of experience with school aged children
Do you have premie experience? *
YesNo
Have you cared for multiples? (Twins/Triplets) *
YesNo
Number of children you're comfortable to care for *
Can you swim? *
YesNo
Do you own a vehicle? *
YesNo
Do you smoke? *
YesNo
What languages do you speak?
Do you have your CPR and First Aid? *
YesNo
What is your pay range? *
Please list all childcare experience you have, or email your resume *
Please email resume to mylovingnanny@gmail.com
Do you have your High school diploma or GED? (please explain) *
What is your highest level of education and field of study? *

What do you enjoy most about working with children? *
Have you cared for a Special Needs child? If yes, please list which Special Needs and your experience. *
What are your disciplinary styles? *
What activities do you like to do with children? *
What are your life goals? *

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