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Sitter 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
Occupation
Phone
Cell Phone
Email
Spouse
Occupation
Home
Address
City
State
Zip
Apartment Number
Children
Name Child One
Age Child One
Gender Child One male female
Name Child Two
Age Child Two
Gender Child Two male female
Name Child Three
Age Child Three
Gender Child Three male female
Name Child Four
Age Child Four
Gender Child Four male female
Name Child Five
Age Child Five
Gender Child Five male female
Sitter Qualifications
Swimmer Able to drive
Own a car Cooking skills
Prior childcare experience
Do you require the sitter to transport children in her/his own car? yes
no
Briefly describe the personality of you and your spouse:
Please describe your family's favorite interest or hobbies:
Do you have any additional information or comments that will help us make the most compatible match for you and the caregiver?
Where did you hear about us?
Terms and Conditions
  • Once your sitter has been confirmed, the agency fee is due. If you cancel your sitter at any point after confirmation, you still owe the agency fee of $20/sitter/day.
  • If you cancel your confirmed sitter within 48 hours of their scheduled arrival, you are required to pay half of their hourly rate for the time they reserved for you.
I have read and accept the above Terms and Conditions.
Submit