Indian Nanny - Placement Service for Nannies, Housekeepers and Caregivers
Application Form
aryan2691@gmail.com
510-938-7195
Date:
Name/Name of Spouse:
Address:
Email:
Phone/Text:
Occupation: Husband/Wife
Number of children/ages/boy/girl:
Any special characteristics/health issues we need to know about?
Household members:
Start date-Approx. end date:
Job description:
Do you need a nanny who drives? Yes/No/Open to Either:
Days nanny will work:
Hours:
Live-in/Live-out:
If live-in do you have a room for the nanny: Please specify w/bathroom/in-law suite?
How many rooms in the home?
Description of an ideal nanny:
Have you had a nanny before? Reason for leaving?
Languages spoken/Regional background:
Cooking required: If yes, please specify veg/non-veg/type of cuisine
Salary:
Pets:
Payment method: W-2/Check/Cash
How often paid: Weekly/Bi-weekly
How did you hear about us:

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