Basic
*Name:
*Phone #:
*E-Mail Address:
*Birthdate:
Best Time To Contact You:
Gender:
Address
*Address:
Apartment #:
*State:
*City:
*Zip Code:
Address 2
Address 2:
State:
City:
Zip Code:
Misc.
*Are you a U.S. citizen?
Driver’s Licensing State:
Date available to start:
Do you need two weeks notice?
Do you smoke?
*Have you ever been convicted of a crime?
How did you hear about Vermont Nanny Connection?
How would you like to be paid?
Do you require health insurance?
Type of position:
Interested in Sitter Connection?
Hours of availability:
Location preference:
Distance to Commute:
Can you use your car on the job?
Will you work for a stay-at-home-parent?
Can you work around animals?
Languages spoken and understood:
Can you swim?
Character Reference #1
Name:
Phone #:
E-Mail Address:
Relationship:
Character Reference #2
Experience
*How many years of childcare experience do you have?
List specific childcare roles:
Education – Highschool
Name of highschool:
Location (City & State):
Dates attended:
Education – College
Name of college:
Degree:
Education – Other
Other education:
Description:
Brief Description of Education and Training related to job:
Resume:
*Cover Letter:
Professional Reference #1
Professional Reference #2