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Nanny Application

If you feel more comfortable printing out a PDF of the application and mailing it to our offices we welcome that as well.

If you would like a copy of the Application sent to you please contact Vermont Nanny Connection and we will send you one. Don't forget to add your mailing address in the comment area.

Personal Information
Name
Phone
Cell Phone
Email
Birthday
Best time to contact you
Sexmale   female
Current Mailing
Address
City
State
Zip
Apartment Number
Permanent Mailing (if different)
Address
City
State
Zip
Apartment Number
Personal Questions
US Citizen no   yes
Driver License State
Date Available
Do you need two weeks notice? no   yes
Do you plan on bringing your child with you to work?no   yes
Do you smoke?no   yes
Have you been convicted of a crime?no   yes
How did you hear about Vermont Nanny Connection?
Desired Situation
Salary

please list "gross" wages not "net" wages

 $ per
hour   week
How would you like to be paid?cash   payroll
If you make more than $1,400.00 in a calendar year with the same family, that family is obligated to pay employer taxes and Unemployment Insurance.
Do you require health insurance?no   yes
Type of Position Live In
Live Out
Long-Term
Short-Term (summer)
Temporary
No Preference
Interested in Sitter Connection? no   yes
Amount of hours
per day   per week
Hours of Availability

Please list in the text area to the right

Location Preference
Distance to commute?
Preferred number of children
Age Preference Infants
Toddlers
Preschoolers
School Age
Older/Teenager
Willing to work with Multiples (twins)
Special Needs
Use your car on the job? no   yes
Work for stay at home parent?no   yes
Work around animals?no   yes
Consider doing: Childrens laundry
Grocery
Shopping
Light Housekeeping
Family Errand
Cooking
Travel
Overnights
Education- High School
Name of High School
Location (City and State)
Dates Attended
Degree
Education- University
Name of University
Location (City and State)
Dates Attended
Degree
Education- Other
Name
Location (City and State)
Dates Attended
Degree
Training
Received training in First Aid
CPR
Lifesaving/Swimming
Other
Can you swim? no   yes
Rate your cooking ability
Languages you speak and understand
Brief Description of Education and Training related to Job
Work History (you may attach resume instead)
Employer
Address
Phone
Dates Worked
Job Responsibilities
Employer
Address
Phone
Dates Worked
Job Responsibilities
Employer
Address
Phone
Dates Worked
Job Responsibilities
Employer
Address
Phone
Dates Worked
Job Responsibilities
Employer
Address
Phone
Dates Worked
Job Responsibilities
Childcare References
Please contact your reference and let them know that we will be contacting them
Contact Name
Phone Number
Relationship
Contact Name
Phone Number
Relationship
Personal References
Please contact your reference and let them know that we will be contacting them
Contact Name
Phone Number
Relationship
Contact Name
Phone Number
Relationship
Resume
Please e-mail your resume to dorilee@vermontnannyconnection.com.
Cover Letter*
*Required Please copy and paste a letter to prospective families discussing your childcare experience, family background, a little information about yourself, and why you want to be a nanny. This should be at least one full page. It is your chance to introduce yourself to families and will make the greatest impression on them than any other part of your application. If you need help on this part please feel free to contact Vermont Nanny Connection.
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