Do you require a caregiver with a valid
Driver's License?
Yes
No
Our nannies/caregivers work 5 days per week,
usually Monday-Friday. They are professionals who only care
for household tasks related to the children or the elderly.
If you need additional days, have an unusual schedule or
would like the nanny or caregiver to perform additional
tasks, please describe this below:
Approximate proposed work hours per week for
the nanny/caregiver?
How many children do you have?
What is the age(s) and gender(s) of the
individual(s) requiring care?
Does the individual(s) in need of care have
special needs?
Yes
No
If so, please describe.
Do you have a private bedroom for the
nanny/caregiver?
Yes
No
Describe any special features of the
nanny/caregiver's living area.
(i.e. a separate apartment, separate wing, third floor,
basement room, attic room, kitchen, sitting room, etc.)
Approximate square footage of your home?
Please share any other comments you think
would be helpful to us:
