Date:
MM
DD
YYYY
First Name
Last Name
Preferred Pronouns:
Email
*
Phone Number
Neighborhood/City of Residence:
Are you willing to undergo a background check if offered a position:
Yes
No
Are you legally authorized to work in the United States:
Yes
No
Select if you have the following social media profiles:
(Please be aware that social media profiles will be reviewed, so ensure they are professional and appropriate.)
Is there any relevant information Nannies by Natalie should be aware of:
Do you hold a valid driver’s license in Washington State:
Yes
No
Do you currently hold a driver’s license in another state:
Yes
No
Do you have current car insurance:
Yes
No
Do you own a vehicle? (Please specify make, model, and year):
How many passengers can your vehicle transport (including yourself):
4
5
6
7
8
List any accidents you’ve been involved in as a driver over the past 7 years (include both at-fault and not-at-fault accidents):
List any driving violations or tickets you’ve received over the past 7 years (e.g., reckless driving, DUI, driving without insurance):
Are you willing to receive an annual flu shot if required for the position:
Yes
No
Do you have any allergies:
Are you comfortable around household pets:
Yes
No
Do You Smoke:
Yes
No
Have you ever been arrested, charged or convicted with a crime:
Yes
No
Desired Hourly Pay:
$25 - $30
$30 - $35
$35 - $40
$45 - $50
$50 +
Are you open to negotiation:
Yes
No
Benefit expectations (e.g., insurance, vacation time, stipends, sick leave):
Available Start Date:
MM
DD
YYYY
What position(s) are you seeking:
Contract Commitment Duration:
Less Than 1 Year
1 Year
Temporary Hire
Newborn Care Specialist (NCS)
Weekly Availability:
Do you have any other commitments that might affect your availability:
How long are you willing to commute:
0 - 15 min
15 - 30 min
30 - 45 min
45 - 60 min
+ 60 min
Are there any specific tasks related to childcare or household management that you are unwilling to perform:
Preferred Job Locations:
Comfortable working while a parent works from home:
Yes
No
Willing to work alongside a parent at home (Mother’s Helper):
Yes
No
Open to nanny-share (working with two families simultaneously):
Yes
No
Willing to work with two families to fill desired hours:
Yes
No
What is the maximum number of children you are willing to assist a family with:
1
2
3
4
5+
Indicate the age groups of children you are open to providing care for:
Highest Level of Education:
GED
High School Diploma
AA
Bachelors
High School Attended:
College/University Attended:
College Graduation Date
MM
DD
YYYY
College Degree/Major
Additional Certifications:
CPR Certified:
Yes
No
First Aid Certified
Yes
No
Please describe any other relevant childcare education:
Childcare/Household Manager/NCS Employment History
Please list your 3 most recent employers along with the family name, neighborhood/city, number of children and their ages, days/hours per week and employment dates.
Shot Personal Summary
Please provide a brief biography introducing yourself. In your introduction, include details about your childcare and household manager experience and your ideal position. Describe your personality and personal interests, and explain what makes you unique among the household managers in the greater Seattle area. Aim for 250-500 words.
How would you describe your personality, values, and communication style:
What experiences qualify you for the role of a household manager or family assistant:
What unique skills, education, or interests do you bring to working with families:
What is your greatest strength or skillset when it comes to household management:
Can you provide an example of a time when you made a positive impact on a family:
Describe a challenging situation you faced in a professional role and how you resolved it:
What are your personal and professional goals for the future:
