Nanny Application – Miami Nannies, Inc.

Miami Nannies Inc. Initial Employment Application Form

SPECIAL NOTE: Please complete the application in its entirety. We are trying to anticipate what your potential employers will want to know. If you choose not to answer some questions, it is acceptable to write "no answer." However, the application and all other documents provided are proprietary to Miami Nannies, Inc. and are registered and copyrighted. If you decide not to apply we will hold your application as incomplete or destroy it, as you wish.

Basic Information
What type of position are you seeking? (Click all that apply.)*
- Live In Nanny (Light housekeeping & Cooking only)
- Live In Nanny (Full housekeeping)
- Live Out Nanny (Light housekeeping & Cooking only)
- Live Out Nanny (Full housekeeping)
- Live In Housekeeper
- Live Out Housekeeper
- Part Time Nanny
- Part Time Housekeeper
- CNA Companion
If you are applying for a Domestic Management position such as Estate Manager, Domestic Couple etc., please attach your resume.
Accepted file types: doc, docx, pdf, Max. file size: 3 GB.
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Cell Phone
Email
Maiden Name
Other Names Used
How long have you been at this address?
Name of closest friend or relative
Phone number of closest friend or relative
Education
What is the highest level you completed in school?
Name of High School
Name of College
Major
Have you ever applied to Miami Nannies, Inc?
- Yes
- No
If so, under what name and what year?
How did you hear about Miami Nannies?
Are you legal to work in the United States?*
- Yes
- No
If YES, you must provide documentation regarding your work status (Work Permit, Green Card, Passport, other). Failure to do so will result in your disqualification (candidacy being terminated).
Date of birth*
Are you married?
- Yes
- No
Do you have children?
- Yes
- No
If yes, who cares for them while you work?
Have you ever been arrested or called in for questioning by the police?
- Yes
- No
If yes, what was the charge or reason?
Have you ever been convicted of a crime?
- Yes
- No
If yes, what was the offense?
Please explain
Do you drive?
- Yes
- No
Do you own a car?
- Yes
- No
How many accidents have you had in the last five (5) years?
How many traffic tickets have you had in the last five (5) years?
Why are you interested in childcare work?
How would you describe your personality?
What are your long-term job or career goals?
What are some of your hobbies or interests?
Tell us about any travel experiences you have had.
What other commitments do you have?
(Please include any current or up-coming commitments, e.g. school, full or part-time jobs, major travel plans, etc.)
Rate yourself on the following qualities:
Flexibility
Sense of Humor
Good Nature
Common Sense
Neatness
Do you have any musical or athletic talents?
What languages do you speak?
Can you cook?
- Yes
- No
Can you swim?
- Yes
- No
Do you smoke?
- Yes
- No
Can you sew?
- Yes
- No
What age and how many children do you prefer to care for?
What form of discipline do you believe is most effective?
Please check all that apply to your past experiences:
- Attention Deficit Disorder
- Behavioral Disorders
- Learning Disabilities
- Physical Handicaps
- Mental Handicap
- Infant on a Monitor
- Twins/Multiple Births
- Mildly Ill Child
- Care w/ Parent at Home
- Toilet Training
- 24-hour Live-in Care
- New Mother/Baby Care
Please indicate if you are currently certified in the following areas:
- Infant/Child CPR
- Nurse's Aid
- Adult CPR
- Nurse (RN/LPN)
- First Aid
- Teaching Certificate
What household tasks would you be willing to do?
- Live In Nanny - light housekeeping & cooking only
- Live In Nanny - full housekeeping
- Live Out Nanny - light housekeeping & cooking only
- Live Out Nanny - full housekeeping
- Cleaning & cooking for the child/children
- Family laundry
- Cook family meals
- Vacuuming
- Errands
- Grocery shopping
Would you care for pets?
- Yes
- No
Do you like cats?
- Yes
- No
Do you like dogs?
- Yes
- No
Do you have any religious requirements?
Would you live and/or work with a family of another faith?
- Yes
- No
If NO, please explain.
Employment References
LIST ALL EMPLOYMENT HISTORY PERTAINING TO CHILDCARE FOR THE LAST 10 YEARS. START WITH YOUR CURRENT OR LAST JOB. (Please include any business references so that we can establish a work chronology).
Reference 1
Employer Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Dates Employed*
Position Held*
Starting Salary*
Ending Salary*
If childcare, ages of children
Responsibilities
Reason for leaving
Can we contact this employer?*
- Yes
- No
If NO, please explain.
Reference 2
Employer Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Dates Employed
Position Held
Starting Salary
Ending Salary
If childcare, ages of children
Responsibilities
Reason for leaving
Can we contact this employer?
- Yes
- No
If NO, please explain.
Reference 3
Employer Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Dates Employed
Position Held
Starting Salary
Ending Salary
If childcare, ages of children
Responsibilities
Reason for leaving
Can we contact this employer?
- Yes
- No
If NO, please explain.
Certification*
- I CERTIFY THAT THE ANSWERS GIVEN HEREIN AND THE INFORMATION PROVIDED ARE FACTUAL, TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT FALSIFICATIONS, OMISSIONS OR MISREPRESENTATIONS MAY BE CAUSE FOR REJECTION OF MY APPLICATION TO MIAMI NANNIES, INC. OR ANY OF ITS CLIENTS, AND IF EMPLOYED BY A CLIENT OF MIAMI NANNIES, INC. MAY BE CAUSE FOR IMMEDIATE DISMISSAL IF DISCOVERED AFTER MY EMPLOYMENT. I AUTHORIZE INVESTIGATION OF ALL INFORMATION CONTAINED IN THIS APPLICATION AND ANY SUPPLEMENTAL MATERIAL SUPPLIED BY ME AS MAY BE NECESSARY. I FURTHER AUTHORIZE ANY EMPLOYER, PERSON, CORPORATION, OR EDUCATIONAL INSTITUTION LISTED HEREIN, INCLUDING MIAMI NANNIES, INC., TO ANSWER ANY AND ALL QUESTIONS AND AGREE TO HOLD ALL PERSONS HARMLESS FOR PROVIDING ANY AND ALL INFORMATION WITHIN THEIR KNOWLEDGE OR RECORDS.
Name
This field is for validation purposes and should be left unchanged.

Miami Nannies Inc. Initial Employment Application Form

Basic Information

Education

Employment References