Online Nanny Application at Nanny Pros Inc in the Greater Seattle area

Employment Application

Type/enter your information and click "SUBMIT" when finished.
Check boxes for "Yes". Leave unchecked for "No".

Help/Questions: contact NPI directly: 206.356.8061/office | resumes@nannyprosinc.com.

PERSONAL INFORMATION
Last Name: First Name: Middle Initial:
Complete Address: Apt. #:
City: State: Zip:
Daytime Phone No.: Evening Phone No.:
Email Address:
CPR Certified: First Aid Certified:
Are you willing to become certified?
Do you swim? Are you certified in life saving?
Have you had any experience working with special needs children?
If yes, please elaborate:
Have you had any experience dealing with mildly ill children (colds, fevers, food allergies, etc.)?
If yes, please tell us more:
Have you ever been convicted of a felony or misdemeanor?
If yes, please explain:
Have you ever been suspected of child or sexual abuse?
If yes, please explain:
Are you comfortable working in a home where there are pets?
If no, which pets do you not like to be around and why?
Do you speak a foreign language?
If yes, please list which language you speak:
Do you require time off for religious holidays or to attend religious services?
If yes, please list which days and dates:
Do you enjoy cooking?
Can you prepare simple menus?
DRIVING INFORMATION
Do you have a valid driver's license? Number of years driving?
Expiration Date: State:
Have you ever had a driving violation or traffic ticket?
If yes, please explain:
Have you been in any car accidents?
If yes, please explain:
Has your license ever been revoked or suspended:
If yes, please explain:
Do you have a safe/reliable vehicle?
Are you comfortable transporting children in your car?
Do you require the use of your employer's vehicle to transport children?
HEALTH INFORMATION
Do you smoke? Would you be comfortable working in a smoke free home?
Would you work in a smoking environment?
Do you do drugs? Have you ever been convicted of a drug related offense?
Do you drink alcohol? Have you ever been treated for alcohol abuse?
Are you taking any medications?
If yes, please give details:
Do you have any physical restrictions or other medical condition that could affect your ability to care for children?
If yes, please give details:
Are your immunizations for childhood diseases up to date?
If no or unsure, please explain and note here which immunizations you have not received:
Are you currently covered by health insurance?
Insurance Company:
Are you willing to submit to or provide us the results of the following?
Drug Screening Test: HIV/Aids Test:
Physical Examination: T.B. Test:
If no, please explain:
Whom should we contact in the event of an emergency?
Name: Phone No.:
Address: Relationship to you:
EDUCATION
Education Facility Name & Location Degree / Certificate Years Attended Date Graduated
High School
College
University
Other
Please tell us of any other special training or other courses you have taken:
Are you currently enrolled in any college or upgrading courses?
Please elaborate:
What extra-curricular activities did you participate in during high school or college/university?
Would you be willing to upgrade your skills if required?
EMPLOYMENT BACKGROUND List most recent employers first.
Employer: From: To:
Address (City/State is fine): Phone #:
Ages/# of Children: May we contact this employer:
Duties:
Reason for leaving: Supervisor/Parent:
Employer: From: To:
Address (City/State is fine): Phone #:
Ages/# of Children: May we contact this employer:
Duties:
Reason for leaving: Supervisor/Parent:
Employer: From: To:
Address (City/State is fine): Phone #:
Ages/# of Children: May we contact this employer:
Duties:
Reason for leaving: Supervisor/Parent:
Employer: From: To:
Address (City/State is fine): Phone #:
Ages/# of Children: May we contact this employer:
Duties:
Reason for leaving: Supervisor/Parent:
If there are any gaps in your employment, please explain here:
REFERENCES Personal, character, additional employment references. (Friends or relatives not permitted.)
Name: Phone #: Relationship: Years known:
Name: Phone #: Relationship: Years known:
Name: Phone #: Relationship: Years known:
Name: Phone #: Relationship: Years known:
Name: Phone #: Relationship: Years known:
ADDITIONAL INFORMATION
Please use this space to tell us a little about yourself, what it is about being a nanny that you most enjoy, challenges that you have overcome, what you bring to every family in your care, etc... and any additional comments or information that you would like a family to know about you.

Nanny Code of Conduct:

As a Nanny placed by Nanny Pros, I will respect each child in my care as a human being. I will conduct myself in a professional and responsible manner and always make the emotional and physical needs of the children in my care my number one priority. I understand that my responsibilities include (but are not limited to):

  • Providing a nurturing, stimulating and safe atmosphere for the children
  • Driving the child/children in a safe manner, obeying all traffic laws and always making sure that car seats/restraints are installed/applied properly
  • Maintaining an open and honest line of communication with my employers
  • Always being respectful of the wishes and the values of the parents in relation to the children
  • Respecting the families right to privacy

I vow to never use any physical violence with your child/children. When discipline is needed, I will defer to the method set by the parents and always correct the inappropriate behavior in a calm, loving and straightforward way. I will be patient, nurturing and attentive and generous with affection and praise.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.
Digital (typed) Signature of Applicant:
Date: