Sitter Application Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Date of Birth (mm/dd/yyyy) *Which services can you provide? *BabysittingPet Care (Sitting and Walking)Companion CareTutoringHouse SittingPlease provide a brief description of your previous experience. (childcare, pet care, elder companionship, tutoring, house sitting) *Do you smoke, vape, drink alcohol, or use recreational drugs? If YES, please explain. *Please provide your Facebook and Instagram screen names. *We conduct a social media search to provide a better service to our clients. Upload CPR Card Click or drag a file to this area to upload. Must not be expired. Email to info@thepreferrednanny.com if you cannot upload.If you live in PA, upload your Child Abuse Clearance here. Click or drag a file to this area to upload. Must be current. Preferably submitted within the past 6 months. MUST have to work in PA! Email to info@thepreferrednanny.com if you cannot upload.Upload your criminal clearance here. Click or drag a file to this area to upload. Must be current. Preferably submitted within the past 6 months. MUST have to work in PA! Email to info@thepreferrednanny.com if you cannot upload.Upload FBI Fingerprinting document or additional background check here. Click or drag a file to this area to upload. MUST have if you lived outside of PA. MUST have to work in GA and NC. Email to info@thepreferrednanny.com if you cannot upload.Additional certification. Click or drag a file to this area to upload. Please upload any additional certification you may have.Childcare Reference 1 *FirstLastPlease no family members.PhoneEmailWhat type of position was this? BabysitterNannyDaycareVolunteerOtherChildcare Reference 2 *FirstLastPlease no family members.PhoneEmail *What type of position was this?BabysitterNannyDaycareVolunteerOtherHow many years of childcare experience do you have?Pet Care Reference 1FirstLastPlease no family members.PhoneEmailPlease provide a description for this reference.Pet Care Reference 2FirstLastPlease no family members.PhoneEmailPlease provide a description for this reference.Companion Care Reference 1FirstLastPlease no family members.PhoneEmail *Please provide a description for this reference.Companion Care Reference 2FirstLastPlease no family members.PhoneEmailPlease provide a description for this reference.Tutoring Reference 1FirstLastPlease no family members.Phone EmailPlease provide a description for this reference. Tutoring Reference 2FirstLastPlease no family members.Phone EmailPlease provide a description for this reference. We kindly ask that you refrain from accepting permanent or temporary positions from clients without notification and confirmation from a Preferred Nanny/Sitter Source agent. Failure to do so is grounds for removal from our agency. *AcceptI certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading answers in my application or interview may result in my release.Submit
