FAMILY APPLICATION
847-331-3304
fivediamondagency@yahoo.com
NAME{S}:
ADDRESS:
EMAIL
ADDRESS:
PHONE NUMBER - FAX - CELL PHONE
NUMBERS:
DIRECTIONS
FROM NEAREST MAJOR INTERSECTION:
START DATE:
DETAILS OF
WHY YOUR CURRENT NANNY’S JOB IS ENDING:
NAMES/AGES
OF ALL CHILDREN {LIST ANY SPECIAL NEEDS HERE}:
DUTIES OF
NANNY:
DAYS AND
HOURS:
SALARY PER HOUR{$}:
DO YOU NEED
A DRIVER?
DOES SHE NEED OWN CAR?
PAID HOURS
OFF/PAID VACATION SCHEDULE:
WILL THE
NANNY PAY TAXES?
TRAVEL WITH FAMILY?
DO
YOU HAVE PETS? LIST:
DAYS AND
TIMES YOU CAN INTERVIEW?
Other: