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Submit Family Application for Permanent Nanny Placement

Fill out the online form below and press send. Alternatively, you can print out the PDF version and email or fax it to us. There is a one-time registration fee of $100.

"*" indicates required fields

Parent Information

Parent #1

Name*

Email*

Primary phone number*

Type*

Add another phone number

Alternate phone number

Type

Occupation*

Employer*

Parent #2

Name*

Email

Primary phone number

Type

Add another phone number

Alternate phone number

Type

Occupation

Employer

Home Information

Home phone

Address*

Street Apt/Suite City State ZIP Code

Does anyone in the family smoke?*

Yes

No

Has either parent been convicted of a misdemeanor?*

Yes

No

Has either parent been convicted of a felony?*

Yes

No

Child Information

Child information*

Write your child's name, gender, DOB, and any other special information. Click the + icon to add another line for another child.

Name

Gender

Date of Birth

Other Information (Allergies, Special Needs)

Pet Information

Pet information

Write your pet's name, type, breed and weight. Click the + icon to add another line for another pet.

Name

Type

Breed

Weight

Have you ever had a nanny before?*

Yes

No

Is there anything you'd like us to know about your family's past experiences with a nanny?

Job Specifics

What type of nanny are you seeking? Check all that apply*

Full time

Part time

Live in

Live out

Anticipated start date*

MM slash DD slash YYYY

Please describe your living quarters*

I need my nanny to work or be on call....*

Day

Time

Click the + icon to add another row.

Special skills you want your nanny to have

Qualities you are looking for in a nanny*

Nanny Job Specifics

Housekeeping

Cooking

Driving (own car)

Driving (family car)

Travel availability

Major holiday availability

Specifically describe the housekeeping work

Specifically describe the cooking work

Specifically describe the driving (own car) work

Specifically describe the driving (family car) work

Specifically describe the travel availability work

Specifically describe the major holiday availability work

Will you object to your nanny smoking outside your home?*

Yes

No

Compensation

Proposed hourly salary range (min-max)*

The amount paid a Permanent Nanny will vary based on numerous variables within your employment arrangement. Your NWNannies advisor will review your specific situation with you and answer any questions you may have during your consultation.

Is your salary offer negotiable?*

Yes

No

Benefits Available to Your Nanny*

Paid Vacation Days (Standard for full-time nannies, generally ranging from one to three weeks per year.)

Paid Federal Holidays (New Year's Day, Memorial Day, 4th of July, Labor Day, Thanksgiving Day and the day after, Christmas Day.)

Paid Sick Leave (Full-time nannies typically receive 3-5 paid sick days per year.)

Tax Withholding (Federal and State)

Social Security (Employer match)

Health Insurance

Other

What other benefits are you offering?

Is there any other information you'd like to share with us about your family now? We're looking forward to serving you.

Application Fee

Permanent Family Application Fee*

Price:

Credit Card*

Card Details

Cardholder Name

How did you hear about us?

Google Search

Word of Mouth/Referral

Social Media

Newspaper

Radio

Other

This field is hidden when viewing the form

Do you remember their name?

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NWNannies is a member of International Nanny Association and National Association for the Education of Young Children.

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