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!

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

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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?*

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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

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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

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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

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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?*

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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?

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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:

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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

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Placement Preferences: