Nanny Services Form Families, please fill out the application below to begin your nanny search! First and Last Name(required) Email(required) Phone number(required) Name of partner or spouse Email Street address City State Zip code Parents occupations Start date of position Children(s) name, ages and DOB Any children with special needs, medical conditions or food allergies? Please describe each child Describe household tasks your nanny will be expected to perform Please describe your parenting philosophy Please describe how your family handles discipline Describe if your child needs to be taken to activities or school Nanny's Schedule: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Total number of hours per week Hourly pay Will you be withholding taxes from the nanny's paycheck? Will you compensate for mileage or provide a gas allowance? Will the nanny have paid vacation days? If so, how many? Will the nanny have paid sick days? If so, how many? Will the nanny have paid holidays off? Have you had a nanny previously? Share any positive or negative experiences with your nanny Describe any personality traits you are looking for Do you have someone that comes to clean? Will your nanny be expected to travel or do overnights for your family? Do you or your spouse work from home? Will you provide a nanny car? If not, does the nanny need her own car to transport your children? Do you have any pets? Additional comments How did you hear about Your Happy Nest?