Family Application for Heaven Sent Nanny LLC
Your Contact Information
Primary Applicant First Name
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Relationship To Children
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Primary Applicants Last Name
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Home Phone Number
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E-Mail Address
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Phone Number
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Primary Applicants Employer
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Primary Applicants Work Number
Secondary Applicants First Name
Secondary Relationship To Children
Secondary Applicants Last Name
Secondary Applicant Cell Phone Number
Secondary Applicants Employer
Secondary Applicants Work Number
Secondary Applicants E-Mail Address
Family Home Address
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What is the best time to reach you?
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Are You Looking For A
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Live-In Nanny
Live-In Nanny/Housekeeper
Live-In Mothers Helper
Live-In Nanny/Household Manager
Temporary Nanny (3 months or less)
Other option
Child One Name
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Child One Age
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Child One Gender
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Any Special Needs For Child One
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Child Two Name
Child Two Age
Child Two Gender
Any Special Needs For Child Two
Child Three Name
Child Three Age
Child Three Gender
Any Special Needs For Child Three
Child Four Name
Child Four Age
Child Four Gender
Any Special Needs For Child Four
Please List Additional Children Information Here
When Would You Like The Nanny To Start
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Please Describe The Duties You Want Your Nanny To Perform
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Are You Wanting To Create A Personal Or Professional Relationship With Your Nanny?
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Please Describe The Living Accommodations You Plan To Provide For Your Nanny. If a vacation nanny please specify where you want the children to be watched at
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Salary Range
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$400-$450
$450-$500
$500-$550
$600+
Other option
Does Anyone In The Home Smoke?
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Yes
No
Do You have Any pets?
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Yes
No
N/A
Please Describe Your Pets
Have You Ever Had A Live-In Nanny Before?
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Yes
No
N/A
Are You Providing A Vehicle For The Nanny To Drive? ?
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Yes
No
N/A
Any Special Circumstances We Should Be Aware Of?
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Yes
No
Please Describe Your family"s Religion
Please Describe Your Family"s Location
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Family References
Please provide one personal reference & one previous nanny/childcare provider reference.
If you have never had a nanny or baby sitter in your home, please provide two personal references. Thank you.
First Name
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Last Name
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Phone
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Personal or childcare reference
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First Name
Last Name
Phone
Personal or childcare reference
These references may be given to a nanny who is interested in your family
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Please upload a family photo
How did you hear about us?
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Thank you for your interest in Heaven Sent Nanny & you should be contacted within 48 hours
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