Family Application

Family Application
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Will there be frequent overtime?

CHILDREN INFORMATION SECTION

Child 1 Sex
Child 2 Sex
Child 3 Sex
Child 4 Sex
Is A New Child Expected?

FAMILY RELATED INFORMATION

Do you have any pets?
Is nanny responsible for their care?
Do you follow any dietary practices to which you would like a nanny to adhere?
Will you have any household help other than the nanny?

NANNY RELATED INFORMATION

Would you consider a nanny who wanted to bring her child to work with her?
Will the nanny be required to drive as part of her job?
Is there a car made available to the nanny to use during work hours?

SALARY AND BENEFITS

What benefits will be offered to the nanny? Please check off all that apply and describe in the space provided.

REFERENCES

We ask that you include two character references for the nanny to call if she wishes to do so. If you’ve had a previous nanny, listing him/her as one would be ideal.

I have read and agree to Portland Nannies Family Policies