How did you hear about Foothill Nannies?
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Parent Name 1
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First Name
Last Name
Phone 1
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(###)
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Email 1
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Preferred Contact Method
Occupation 1
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Major Cross Streets
Parent Name 2
First Name
Last Name
Phone 2
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Email 2
Occupation 2
Name 1
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Gender 1
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Age 1
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Birthday 1
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DD
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Grade Level 1
Description of personality
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Health concerns, allergies, special needs you wish to disclose
Extracurricular activities / interests
Name 2
Gender 2
Age 2
Birthday 2
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DD
YYYY
Grade Level 2
Description of personality
Health concerns, allergies, special needs you wish to dislcose
Extracurricular activities/interests
Name 3
Gender 3
Age 3
Birthday 3
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DD
YYYY
Grade Level 3
Description of personality
Health concerns, allergies, special needs you wish to disclose
Extracurricular activities/interests
Type of Position
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Anticipated Employment Date
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What is the length of commitment expected from your nanny?
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List Anticipated Schedule
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Please list any flexibility you have pertaining to the schedule as well as any flexibility you might need from your caregiver.
Estimated Total Hours Required Per Week
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Required Job Responsibilities
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(Check all that apply)
Please provide any additional job responsibilities:
Please describe a typical day for your nanny:
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Please describe your family philosophies regarding childcare, discipline, etc:
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Does either parent work from a home office?
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Yes
No
Do you have any pets?
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Yes
No
If yes, please provide type and indoor/outdoor:
Will Driving be required of your nanny?
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Yes
No
If yes, will you provide a vehicle for use while on the job?
Yes
No
Undecided
Does this position require travel?
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