Nanny Application

Thank you for your interest in becoming a nanny with Mollycoddlers!

To become a nanny, you must fulfill these requirements:

Please fill out the application as completely as possible, to make sure that it is processed as quickly and as accurately as possible. Thank you!

When you're finished with this form, you will be directed to another web page where you can register with us.

Please note: this form works best when viewed on a desktop computer or tablet instead of a phone.

Save and Continue Later

Save and Continue Later

Save and Continue Later

Education:
High School:*
City and State:*
Years completed:*
Year graduated:
College:
City and state:
Years completed:
Major/Degree:
Year graduated:
Are you currently in school or have plans to be in school in the future? Please describe.
Have you completed Early Childhood Education (ECE) credits? If yes, how many?*

Save and Continue Later

Childcare and Employment History (please start with your most current or recent job):
Employment Reference #1 - Please indicate type of employment:
- Childcare
- Other employment
If childcare, how many children did you care for?
What were their ages?
What were the dates that you worked there from/to?
Are you currently working there?
- Yes
- No
Employer name:
First Last
Employer Phone:
Employer Title:
What was your reason for leaving or wanting to leave?
May we contact them?
- Yes
- No

Save and Continue Later

Employment Reference #2 - Please indicate type of employment:
- Childcare
- Other employment
If childcare, how many children did you care for?
What were their ages?
What were the dates that you worked there from/to?
Are you currently working there?
- Yes
- No
Employer name:
First Last
Employer Phone:
Employer Title:
What was your reason for leaving or wanting to leave?
May we contact them?
- Yes
- No

Save and Continue Later

Employment Reference #3 - Please indicate type of employment:
- Childcare
- Other employment
If childcare, how many children did you care for?
What were their ages?
What were the dates that you worked there from/to?
Are you currently working there?
- Yes
- No
Employer name:
First Last
Employer Phone:
Employer Title:
What was your reason for leaving or wanting to leave?
May we contact them?
- Yes
- No

Save and Continue Later

Please list three characteristics that describe your personality:*
What are your hobbies? How do you spend your spare time?*
How would you soothe a crying infant?*
You are taking a 3 yr. old on an outing to the park. What should you pack to take with you?*
What activities would you do with children ages? Type after each item:*
• 6-12 months: • 1-2 years: • 2-4 years: • 4-6 years: • 7-10 years:
Name some of your traits that make you qualified to care for children?*

Save and Continue Later

How do you discipline children?*
Why do you want to work with children?*
What do you look for in a family?
Are there any tasks you definitely do not want to do when working for a family?*
How would you handle a situation if you felt it wasn't working out with the parents or children? What things would you try before you get to the final point of giving notice to a family?

Save and Continue Later

How have you handled difficult situations like a baby crying uncontrollably or a child talking back?
Do you enjoy cooking? Would you for the family?*
Have you ever been fired from a job?*
- Yes
- No
What is the shortest and longest time you have been employed at a job?
Shortest: Longest:
Why do you want to work with Mollycoddlers?
How did you hear about Mollycoddlers?*
Please feel free to add anything about yourself that you wish for families to know:

Save and Continue Later

Are you willing to submit to a full background check?*
- Yes
- No
Are you Trustline certified? If not, are you willing to obtain?*
- Yes
- No, not willing to obtain
- No, but willing to obtain
Upload Trustline certification (if applicable):
Upload your resumé
Upload a photo of yourself
Are you CPR/First-Aid certified? If not, are you willing to obtain?*
- Yes
- No, not willing to obtain
- No, but willing to obtain
Upload copy of CPR certification:
Upload letters of referral/recommendation:
Drop files here or
Signature of applicant (type your name to legally verify the accuracy of this form):*
Date:*
Date Format: MM slash DD slash YYYY

Save and Continue Later

Placement Preferences: