The position
Hours Choose… Full-Time (37+ hours) Part-Time (36 hours or less) Temporary / Occasional Date Night Event Care
Length of position Choose… Long-term (1 year or more) Short-term (11 months or less) Temporary
Estimated start date
Nanny work schedule (days, start and end times) *
Any additional scheduling information
Your children
How many children do you have? * Choose… 1 2 3 4 5 6 7 8
Eating habits Choose… Eats almost everything Eats most foods Eats some foods Selective eater
Expecting more children within the year? Choose… Yes No Maybe
If you don't mind our asking — are you currently expecting? 💛 Choose… Yes No Prefer not to say
Congratulations! 🎉 When is your due date?
Are you having a boy or a girl? Choose… Boy Girl It's a surprise! We don't know yet
My children love…
My children do not enjoy…
If any of your children have neurodivergent, atypical, or alternative needs, please describe
Any allergies (environmental or food)?
Your home & parenting style
How would you describe your family, home dynamic, and parenting style?
Daily schedule/routine Choose… We have one We'd like one We don't need one
Is discipline a concern? Choose… Not an issue Might be an issue Definitely an issue
Screen time during the nanny's shift Choose… No screens Limited (1 hour daily or less) Unlimited
Household pets — will the nanny help care for them? Choose… Yes No Maybe No pets
Please describe your discipline style / boundaries
List any household pets (indoor/outdoor, breed, approximate size)
Responsibilities
These are the things you'd like your nanny to help with. Check everything that applies — the child-related duties below are standard nanny work, and the household extras help us match you with a caregiver who's happy to pitch in beyond childcare.
Will the nanny transport your child(ren)? Choose… Yes No Maybe
If yes, using what vehicle? Choose… A vehicle is provided The nanny's own vehicle No transporting
Anything else about the responsibilities?
Your ideal nanny
Years of experience preferred * Choose… 1–2 years 3–5 years 5–10 years 10+ years Open to all experience levels
Hourly rate budget * Choose… $18–20/hr $20–25/hr $25–30/hr $30–35/hr Flexible for the right fit
Comfortable with a nanny bringing her own child? Choose… Yes No Maybe, for the right candidate
Have you employed a nanny before? Choose… Yes No
Any additional nanny requirements? (education, skills, health, travel documents…)
If you've had a nanny before — what did you like or dislike, and why did they leave?
Anything else we should know about your family? (boundaries, expectations, goals)
Please don't include medical record numbers, Social Security numbers, or payment details — our care coordinator will collect anything sensitive securely by phone. Submitting this form does not create an employment agreement.