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ALL CT ABC Nannies Have:

  • CPR Certification
  • Electronic Fingerprints; FBI approved!
  • Exceptional References
  • Valid Driver's License
  • Drug Test completed through Quest Diagnostics
  • Nationwide Criminal Background Check
  • Social Security Verification Trace
  • Confidentiality Agreement
 
 

ABC Nanny Source Employment Application

Thank you for your interest in joining our team of wonderful, dedicated Nannies! We are a referral agency that specializes in the ideal match between connecticut Nannies and families. Each Nanny that is accepted must first submit an online application. Our exceptional screening process is what allows ABC Nanny Source to command the highest salaries available based on your education, experience, and references.

Once accepted, ABC Nanny Source will initiate a Criminal Background Check that extends both Countywide and Nationally. Electronic fingerprints will be taken when you come to the agency for your face-to-face interview, and a pre-paid drug test control form will be provided for you, as well as directions to a local Quest Diagnostic lab center. All applicants considered for interviewing must be CPR Certified for adults, children, and infants before meeting with potential employers.

Please be as detailed as possible when filling out the application below and an ABC Nanny Source Scheduling Coordinator will be in touch with you promptly to arrange your interview!

Personal Information
*First Name:
Middle Initial:
*Last Name:
*Street Address:
*City:
*State:
Other State:
*Zip:
*Home Phone:
Cell Phone:
*Best Contact Number:
*E-mail:
Emergency Contact Name:
Emergency Contact Number:
*Are you an American Citizen?

 Yes  No

*Do you have a valid social security number?

 Yes  No

*Do you have a valid Driver's License?

 Yes  No

*Do you have a car?

 Yes  No

*Is your car insured?

 Yes  No

*Do you have any motor vehicle violations within the last three years?

 Yes  No

*Has your license been suspended within the last three years?

 Yes  No

*Have you had ANY accidents in the last three years including NO fault accidents?

 Yes  No

*If offered a position are you able to make a minimum 1-year commitment?

 Yes  No

*Are you available to start immediately?

 Yes  No

*Have you ever been arrested?

 Yes  No

*What is your birth date?

- -
*Have you ever been a Nanny before?

 Yes  No

*Do you smoke?

 Yes  No

*Are you able to swim?

 Yes  No

*Are you CPR Certified?

 Yes  No

*Are you First Aid Certified?

 Yes  No

*Do you fluently speak any other language?

 Yes  No

*Would you feel comfortable working with a physically or mentally handicapped child?

 Yes  No

*Do you have any allergies?

 Yes  No

*What is your marital status?

 Single  Married  Divorced  Widowed

*Do you have children?

 Yes  No

*Are you comfortable working around animals?

 Yes  No

*Are you willing to help with light housekeeping if part of the job description?

 Yes  No

*Are you currently on file with another agency or online service?

 Yes  No

*Do you intend to drive a vehicle to and from your nanny position?
(versus public transportation)

 Yes  No

*Have you been diagnosed with any psychological problems that could affect your position as a Nanny?

 Yes  No

*Do you have any dietary restrictions that could affect your position as a Nanny?

 Yes  No

*Would you consider a live IN nanny position where your primary residence is the same as where you work?

 Yes  No

*Would you be willing to travel with the family who hires you on occasion?

 Yes  No

*Are you willing to travel domestically on occasion?

 Yes  No

*Are you willing to travel internationally on occasion?

 Yes  No

*What areas would you prefer to work in?
*What is the highest level of education you have completed?

 HS Diploma or GED  Some College  Associate's Degree  Bachelor's Degree  Master's Degree

*Please list subjects of study:
*Name of the College you attended:
*Would you describe yourself as a high energy Nanny?

 Yes  No

*What salary range and benefit package do you require?
*How did you hear about ABC Nanny Source?
*Please describe yourself in detail concerning your personality, goals, family background, and why you want to be a Nanny.
Please fill in the blanks
*The reason I have chosen to be in the Nanny profession over any other is because:
I have been serving in some form of childcare for over years and can honestly say that I what I do!
*I feel children are:
*My goal as a Nanny is to:
*I am willing to do housekeeping that includes:
*If I had to describe myself in five adjectives I would say that I am:
*Activities that I would like to incorporate in the daily plan for the family I care for would include:
*If asked to describe the perfect family seeking a Nanny like me I would hope they would be:
Position Desired
*Check all that apply!

Full Time Permanent Part Time Permanent Other


Availability Schedule Start End
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
*Would you be willing to work late evenings?

 Yes  No

*Would you be willing to work weekends, if requested?

 Yes  No

*Would you be available to work overnight?

 Yes  No

*Would you be able to work overtime?

 Yes  No

*Please check the age group of children you prefer to care for (check all that apply)

Infants Toddlers School Age Teenagers

*What capacity of childcare experience do you have? Check all that apply.

Neighbors Relatives Camp Counselor Church Nursery
Babysitting Day Care Center Live Out Nanny Other

Childcare References: Please list prior childcare positions you have held, beginning with your most recent childcare position and going back as many years as possible. Please feel free to include all nanny positions, daycare positions, babysitting as needed care, doula care, summer only camp counselor classroom setting positions and ANY child care capacity opportunities you've held. Contact information to verify references is critical so please be sure to include all necessary fields. Parents like to speak with other parents so it's perfectly okay to provide parent names and numbers instead of Institution/Daycare names and numbers if preferred.

*Most Recent/Current Position Title:
*Description of Position
(indicate Full time or Part time)
*please include ages of children when you started & reason for leaving:
*Dates of Employment:
*Starting Pay and Ending Pay:
*Direct Supervisor Name:
*Direct Supervisor Contact Number and Email:
*Prior Position Title:
(directly previous to most recent/current):
*Description of Position:
(indicate Full time or Part time)
*please include ages of children when you started & reason for leaving:
*Dates of Employment:
*Starting Pay and Ending Pay:
*Direct Supervisor Name:
*Direct Supervisor Contact Number and Email:
*Additional Position:
*Description of Position:
(indicate Full time or Part time)
*please include ages of children when you started & reason for leaving:
*Dates of Employment:
*Starting Pay and Ending Pay:
*Direct Supervisor Name:
*Direct Supervisor Contact Number and Email:
Additional Position:
Description of Position:
(indicate Full time or Part time)
*please include ages of children when you started & reason for leaving:
Dates of Employment:
Starting and Ending Pay:
Direct Supervisor Name:
Direct Supervisor Contact Number and Email:
Additional Position:
Description of Position:
(indicate Full time or Part time)
*please include ages of children when you started & reason for leaving:
Dates of Employment:
Starting and Ending Pay:
Direct Supervisor Name:
Direct Supervisor Contact Number and Email:
Additional Position:
Description of Position:
(indicate Full time or Part time)
*please include ages of children when you started & reason for leaving:
Dates of Employment:
Starting and Ending Pay:
Direct Supervisor Name:
Direct Supervisor Contact Number and Email:

Personal References (Examples: neighbors, family members, mentor/teachers, friends, church leader/pastor etc.) Please list any references below that can support your charachter in terms of honesty and integrity.

*Personal Reference Name(s):
*Relationship and Details:
*Dates known:
*Contact Number(s):
*Email Address:
*Personal Reference Name(s):
*Relationship and Details:
*Dates known:
*Contact Number(s):
*Email Address:
Personal Reference Name(s):
Relationship and Details:
Dates known:
Contact Number(s):
Email Address:

Thank you for your application, an ABC Nanny Source Scheduling Coordinator will be contacting you promptly to review your information!
We look forward to sharing in your success as an outstanding ABC Nanny!

Sincerely,
ABC Nanny Source




 

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ABC Nanny Source - A Connecticut Nanny Agency
15 E Putnam Ave
Greenwich, CT 06830
Phone: 203-869-1549
Toll Free Fax: 1-877-349-6719
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