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Full name
Phone
What childcare-related experience do you have (please describe experience? And what age ranges did you care for?
What city do you live in? And how far are you willing to commute for a babysitting/nanny position?
What is your availability to babysit/nanny? Please list days and times per week.
Do you have any children who will be accompanying you while nannying/babysitting?
Are you a college or high school student?
Are you CPR or First aid certified?
Do you smoke?
Please list 2 references (name and phone number)
Submit
After submitting the above form, please answer and submit the background check questions below.
Thank you
The Nanny Co. Background Check Program ™
First Name and Middle Initial
Last Name
Date of Birth
Have you been known by a different name?
Have you lived in any other state(s) besides Minnesota within the past 10 years? If yes, which state(s) and when?
Have you ever been convicted of a felony or misdemeanor? If yes, please explain. This will not automatically exclude you from working with our agency, however, providing inaccurate or incomplete information can
Email
Thanks for submitting!
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