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2 of 6: Children's Information
3 of 6: Childcare Requirements
Childcare is the Nanny’s primary responsibility. Please describe in detail expected duties (including childcare, cooking, driving, special medical care requirements, etc.)
Describe your ideal Nanny. Please describe in detail any requirements you may have and the type of person you may have in mind (including age, experience, education, special training or skills)
Please describe your family philosophy regarding childcare, discipline, etc.
Please describe a typical day for your Nanny.
Will your Nanny be responsible for any household tasks in addition to childcare? (cooking, cleaning, driving, etc.) Please explain.
Is this a Live-In Nanny position?
If yes, please describe in detail the accommodations you will provide (bedroom size/location, private bath? TV and/or furnishings, vehicle usage, etc.)
If yes, please describe pets (age, breed) and Nanny’s responsibilities related to the pets.
Do any family members smoke?
4 of 6: Nanny Hours, Salary, and Benefits
What Magnolia Heart Nanny Services are you interested in?
Do you require flexibility to come early or stay late?
Do you have a changing schedule (week to week)?
Do you need child care on weekends, evenings, or holidays?
Will your nanny be required to travel with you?
Any other information regarding work hours?
Are you willing to offer/consider benefits to your Nanny?
5 of 6: Other Information
When will you need a nanny to start?
Is this a short term (< 1 year) or long-term (1 year or more) position?
Do you require the Nanny to have her own car?
Do you live near public transportation?
Do you require the Nanny to transport children in her own car?
If yes, how is the Nanny compensated for work related driving?
Do you have any other information that will help our placement specialist to connect you with a Magnolia Heart Nanny?
Previous Employment Experience
Please provide the following information as well as a minimum of three verifiable references, with at least one from the childcare industry.
How many years of childcare experience do you have?
Please list your 3 most recent employers.
Medical/Mental Health Information
In order to assure safe childcare we must know about medical and psychiatric conditions that could affect your ability to perform the job.
Are you presently suffering from any communicable disease(s) that could be transmitted to a child you are caring for?
If yes, please describe:
Are you presently taking any medication(s), prescribed or not, that affect your judgment, coordination, levels of alertness and ability to respond in an emergency?
Do you have any physical condition that might impair or prevent your ability to perform any reasonably physical act normally required in the care of children (including being able to lift up to 50 lbs.)?
Are you able to be physically active for an extended period of time when required in your duties?
Do you have any mental condition that might impair or prevent your ability to protect a child from harm or that could impair your judgment in any way?
Who do we call in an emergency? (*Must provide at least one emergency contact)