Family Application

Thank you for choosing Mollycoddlers, LLC for your childcare needs.

Please fill out this application as completely as possible so that I can use the information to find you the perfect nanny for your family.

Once I receive your completed application I will contact you by phone to go over any questions I may have and to see if you have questions for me.

Parent's names:*
Mother's occupation:
Father's occupation:
Home address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Daytime phone:*
Evening phone:
Email:*

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What days/times are best for you to interview nanny candidates?*
How much will you be paying your nanny per hour? Please note LA nannies are generally paid on the higher end of rates listed below.*
Please note that a Nanny's typical pay range is:
$18-35+/hr*
*Hourly rate based on experience, education, number/ages of children, responsibilities, etc.
Which of the following benefits will you provide? Check all that apply.
- Health insurance
- Paid vacation
- Paid holidays
- Paid sick days
- Use of family car
Please describe below any benefits you checked in the above question.
Please list any languages in addition to English you would like your nanny to speak:
What hours and days will your nanny be required to work?*
What type of housekeeping will you require?
- None
- Light
- Heavy
Please describe what type of cleaning will be required:

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