Family Application Form

Please tell us about your family so that we can begin the selection process of your nanny. After you have completed and submitted the form, please send us the non-refundable application fee in the amount of $150.00. Please note: do not use the enter key until you are ready to send the form to NPS. Thank you. We are interested in:    Live-out    Live-in   Full time Part time  Name of Family: Address:   City:   State:    Zip:       Home Phone: E-mail Address: FATHER:                                                      Name:       Age: Profession: Business Phone:   Name of Business: MOTHER: Name:       Age: Profession: Business Phone:   Name of Business: CHILDREN: Name:         Age:   Birthdate:       Sex: Male Female Name:         Age:   Birthdate:       Sex: Male Female Name:         Age:   Birthdate:       Sex: Male Female Name:         Age:   Birthdate:       Sex: Male Female NANNY'S WORK SCHEDULE: How many days per week?    Which days? How many hours per day?     What hours do you prefer? How many hours per week?    Weekly range of pay: (*Nannies are currently earning between $12 and $14 per hour.) Will you need evenings, weekends, or overnight care? yes no How many paid holidays will you offer? How many paid vacation days? When would you like the nanny to begin? Do you have a housekeeper or cleaning service?   yes no Do you have any pets? yes   no   Please describe: JOB DESCRIPTION: Please tell us what you expect from your nanny. What light housekeeping duties will you require?     Do you have an age preference?     Please tell us about any qualities which you prefer NOT to consider.                  Does your nanny need to be a swimmer? yes no  Is a car necessary?  yes no Are there any benefits that you would like to offer to the nanny?( Example: travel benefits, health insurance, car provided etc.)  MISCELLANEOUS INFORMATION: Please tell us any information about your family that you feel will help us in the selection process:          Stop Music