Mentee Registration Please enable JavaScript in your browser to complete this form.Name *FirstLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneE-mail AddressHow long have you worked in the childcare field?Are you able to commit 3 months to a mentor?YesNoThis includes being available to respond in a timely manor.Are you prepared to put your best foot forward and complete this program?YesNoExplain what you feel is considered reliability.What are your thoughts on electronics during work hours? Both for the nanny and the children.If you were having an issue with your employer, what steps would you take to rectify the situation?Briefly explain your typical nanny day.This can be general and not specific to age.What tasks do you consider nanny responsibilities?Caring for the childrenTidying day to dayChildrens laundryFamily laundryToy sanitizing and organizationAge-appropriate activitiesHousekeepingMilestone influenceDishwasher dutyCleaning parents messesRunning errandsPlaydatesWhat is a reasonable response time? (Text, call, email etc.))Immediate (up to an hour) Quick (1-4 hours)Slow (4-24 hours)Delayed (over 24 hours)Thank you for participating in our mentor program. Please click the link below to sign our terms and conditions. (This will open a separate window. Please return to submit your application once signed.)Enter any comments or concerns here.LinkSubmit