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info@peekaboonannyagency.com
203-668-9812

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Family Application
Nanny Application
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Nanny Application

This is a general application to join our network of nannies.

Full Name *

First

Last

Email Address *

Phone Number *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Desired hours *

What is your preferred hourly rate? *

Are you legally able to work in the United States? *

Have you ever been convicted of a crime? *

Do you have a drivers license? *

Yes
No

What position are you applying for? *

Position Detail *

Availability *

Monday-Friday
Saturday
Sunday
Daytime
Evening
Overnight
Holidays

Do you have the following?

Resume *

Yes
No

Three references *

Yes
No

At least 3 recent years of nanny experience? *

Yes
No

CPR Certificate? *

Yes
No

Clean DMV record and insurance? *

Yes
No

Are you up-to-date on all vaccines/Covid/boosters? *

Yes
No

Employer/References

Most Recent Employer

Short Description of Duties

Reference Name

Reference Relationship

Reference Email

Reference Phone Number

2nd Most Recent Employer

Most Recent Employer 2

Short Description of Duties 2

Reference Name 2

Reference Relationship 2

Reference Email 2

Reference Phone Number 2

3rd Most Recent Employer

Most Recent Employer 3

Short Description of Duties 3

Reference Name 3

Reference Relationship 3

Reference Email 3

Reference Phone Number 3

Please list any post high school education/certification *

Other than English, any other languages spoken?

Please list any hobbies/interests

Are you able to swim and do you feel comfortable in the water with children? *

Yes
No

What age group do you work with best and what are your strengths with children?

Have you ever worked in a kosher home? *

Yes
No

Is there anything else you would like us to know about you?

How did you hear about us?

Referral Program

We offer a referral fee of $200 upon successful hiring.

Earn a chance to get passive income through our referral program!

Earn $200 for each successful referral
Earn Passive Income
Get extra benefits as a member
Easy Sign Up!

Providing love and care for your family.

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Contact

info@peekaboonannyagency.com
203 - 668 - 9812

Navigation

Home
Family Application
Nanny Application
FAQ
Job Board
Contact Us

Home
Family Application
Nanny Application
FAQ
Job Board
Contact Us

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