Application Instructions:

1. Please do NOT insert a resume.
2. Please fill out the application as completely as possible.
3. ALL job information (especially dates, employer name/phone number and the number/age of children) must be filled out completely.

Please note that the application is very long.  You may wish to review the questions before you begin answering.  You will NOT be able to save your answers and finish later.

Today's Date (required):

Name (required)

Home Address (required): Please include STREET, CITY, STATE and ZIP:

Home Phone (required):

Work Phone:

Cell Phone (required):

Email (required):

Drivers License (STATE ONLY):

Preferred Areas for Employment:

Are you eligible to work in the U.S.? yesno

How were you referred to Elite Nannies and sitters?

Type of position you are seeking (check as many as apply):
Babysitting:
Permanent Nanny:
Mommy Nanny (would like to bring your own child with you):
Full-time:
Part-Time:
Live-In:
Days:
Evenings:
Weekends:
Age of children you have experience with (check as many as apply):
Newborn (0 -3 mo):
Infant (3-12 mo):
Toddler (12 mo - 3 yrs):
Preschool (3 yrs -5 yrs):
Elementary (5 yrs +):
Please check all that you are willing to care for (check as many as apply):
Physical Disabilities:
Physical Disabilities w/ Medical Care:
Learning Disabilities:
Asperger's/Autistic:
Behavioral Disorders:
Multiples:

Preferred number of children:

Have you had CPR? yesno
Expiration date:

Have you had 1st Aid? yesno
Expiration date:

Days/ Hours Available:

Do you have an insured, reliable vehicle to transport children? yesno

Are you willing to transport children? yesno

In case of emergency, please contact (name & phone number):

Relationship to you:

EDUCATION:

High School:

Dates:

City:

State:


Last grade Completed:
Degree:

College:

Dates:

City:

State:

Area of Study:

Degree:

Expected Graduation Date:

College:

Dates:


City:

State:

Area of Study:

Degree:

Expected Graduation Date:

Trade School:

Dates:

City:

State:

Area of Study:

Degree:

Expected Graduation Date:

Other Courses:

Have you taken Child Development courses? yesno

Have you taken any Education classes? yesno

Have you taken any Home Economic classes? yesno

CHARACTER REFERENCES (People who know you well. NOT child care references):

1. Name:

Address(city & state):

Phone:

Length of Relationship

Nature of Relationship:

2. Name:

Address(city & state):

Phone:

Length of Relationship

Nature of Relationship:

3. Name:

Address(city & state):
Phone:

Length of Relationship

Nature of Relationship:

PERMANENT CHILD CARE EXPERIENCE (Please list jobs of 3 months or more, i.e. nanny, day care, teaching, etc.):

1. Dates(month & year):

Employer & Supervisor:

Address(city & state):

Phone:

Email:

Number of children:

Age of children:

Description of Duties (Please be as detailed as possible):

Reason for leaving:

Gross salary:

2. Dates(month & year):

Employer & Supervisor:

Address(city & state):

Phone:

Email:

Number of children:

Age of children:

Description of Duties (Please be as detailed as possible):

Reason for leaving:

Gross salary:

3. Dates(month & year):

Employer & Supervisor:
Address(city & state):

Phone:

Email:

Number of children:

Age of children:


Description of Duties (Please be as detailed as possible):



Reason for leaving:

Gross salary:

4. Dates(month & year):

Employer & Supervisor:

Address(city & state):

Phone:

Email:

Number of children:

Age of children:

Description of Duties (Please be as detailed as possible):

Reason for leaving:

Gross salary:

BABYSITTING EXPERIENCE (Please list babysitting experience of 3 months or more, NOT including family members):

1. Dates(month & year):

Parents Name:

Address(city & state):

Phone:

Email:

Number of children:

Age of children:

Description of Duties (Please be as detailed as possible):

2. Dates(month & year):

Parents Name:

Address(city & state):

Phone:

Email:

Number of children:

Age of children:

Description of Duties (Please be as detailed as possible):

3. Dates(month & year):

Parents Name:

Address(city & state):

Phone:

Email:

Number of children:

Age of children:

Description of Duties (Please be as detailed as possible):

4. Dates(month & year):

Parents Name:

Address(city & state):

Phone:

Email:

Number of children:

Age of children:

Description of Duties (Please be as detailed as possible):

5. Dates(month & year):

Parents Name:

Address(city & state):

Phone:

Email:

Number of children:

Age of children:

Description of Duties (Please be as detailed as possible):

VOLUNTEER WORK (Please list dates and organizations):

OTHER WORK EXPERIENCE (Please list your most recent jobs NOT in the child care field):

1. Dates(month & year):

Company:

Supervisor/Reference:

Address(city & state):

Phone:

Reason for leaving:

2. Dates(month & year):

Company:

Supervisor/Reference:

Address(city & state):

Phone:

Reason for leaving:

3. Dates(month & year):

Company:

Supervisor/Reference:

Address(city & state):

Phone:

Reason for leaving:

4. Dates(month & year):

Company:
Supervisor/Reference:

Address(city & state):

Phone:

Reason for leaving:

5. Dates(month & year):

Company:

Supervisor/Reference:

Address(city & state):

Phone:

Reason for leaving:

Club, Professional Associations, Organizational Affiliations:

Please answer any 6 of the following questions (in addition to the Essay Question) as completely as possible.

1. What types of stimulating activities can you do with a 6 month old to promote growth and development?

2. What activities would you include in a typical day if you were caring for a two-year-old?

What types of things would you be teaching this child?

3. What would you fix a two-year-old for lunch?

4. What would you do if two children ages 5 and 3 began fighting over a toy?

5. What would you do if a child felt hot and seemed sick when he woke up from a nap?

6. How would you handle a child who is going through a biting stage?

7. How would you handle a temper tantrum?

8. List some reasons why a baby might cry:

If you can not find anything wrong, what are some ways to soothe a crying baby?

9. Do you have experience with special needs children? yesno

Please describe:

10. Please describe your child care philosophy regarding discipline. What methods do you use with specific ages?

11. What would you say to a 3 year old who tells you he hates you?

12. How often should a newborn’s diaper be checked?

PERSONAL ESSAY (This is your opportunity to let parents learn more about you): Why do you feel you would make a good sitter or nanny? Please include special skills (foreign language, sign language, life guard, etc) activities you like to do, special interests, and details about your personality.

Authorization:

I understand that the information on this application has been requested for the purpose of evaluating my qualifications for employment by parents, as a child care provider. I also understand that I am not, and will not be an employee of Elite Nannies and Sitters.
I hereby authorize you to request reference checks which may include information on my character, education, driving record, police record, past employment, previous addresses, and social security number.
To the best of my knowledge, the information on this application is true. I understand that misrepresentation or omission of facts in connection with the information provided may be sufficient cause for dismissal wherever discovered.
I permit Elite Nannies and Sitters to show this application and all references to parents as a part of the evaluation process.
I agree to release, and hold Elite Nannies and Sitters harmless for any act of the employer. I also agree to hold Elite Nannies and Sitters harmless of any claim as a result of the placement.

NOTICE: We will require a criminal background check, sex offender registry and Social Security verification. We will also require driving history and further screening requested by a family. DISCLAIMER: There is no guarantee of employment. We reserve the right to reject any candidate.

I have read,understand and agree to the terms of the application.

Agree

Disclosure:

This document serves solely as a clear and conspicuous written disclosure as required by the Federal Fair Credit Reporting Act set forth in section 604 (b) to the Candidate that previous employment, education, social security, credit, motor vehicle report and criminal background check may be obtained for the purpose of this “Application” only.

By agreeing below, the “Applicant” acknowledges that Elite Nannies and Sitters, LLC has made this disclosure.

I have read and understand the terms of the agreement.

Agree