Thank you for your interest in I Love My Nanny, Inc. You will have our response to the Nanny & Governess Application Part 1 in less than 24 hours and sometimes as soon as an hour! Please check your email frequently. We are looking forward to getting to know you. We expect to find you a super nanny or governess job as early as 3 days from now. You have my promise that the application gets much more interesting after Part 1! I wish you the best of luck! Jackie Williams, President & Founder
1. What is your Full Name (First, Middle & Last)?
2. What is your email address?
3. On what date are you first available to begin a nanny or governess position?
4. Please provide your current address?
Street Street State Alabama Alaska Alberta American Samoa Arizona Arkansas British Columbia California Canal Zone Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Trust Territories Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Zip Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit Ind Ocean Territory Brunei Darussalm Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Caymen Islands Central African Rep. Chad Chile China Christmas Islands Cocos Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Dem Rep. of Korea Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France France Metropolitan French Guiana French Polynesia French So. Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadaloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Heard McDonald Island Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (South Korea) Kuwait Kyrgyzstan Laos Lativa Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Mariana Islands Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Nambia Nauru Nepal Netherland Antilles Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Island Norfolk Island Northern Mariana Island Norway Oman Pacific Islands Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of Korea Reunion Romania Russian Federation Rwanda S Georgia & Sandwich Saint Pierre & Miquelon Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierre Leone Singapore Slovakia Slovenia Solomon Islands Somali Republic South Africa South Korea Spain Sri Lanka St. Helena St. Kitts-Nevis St. Lucia St. Vincent/Grenadines Sudan Suriname Svalbard & Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay US Minor Outlying Is. Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands: British Virgin Islands: US Wallis & Futuna Islands Western Sahara Western Samoa Yemen Yugoslavia Zaire Zambia Zimbabwe
5. What is your day telephone number?
6. What is your evening telephone and/or permanent telephone number? (Give both if you can.)
7. If you have one, what is the fax number? (Leave blank if you do not have a fax.)
8. How much would you like to earn in gross salary per week as a live-in nanny?
$850+ $700-$849 $600-$699 $550-$599 $500-$549 $450-$499 $400-$449 $399-$350 $300-$349 Depends on job, I am flexible.
9. Please tell us about your child care experience. Check all that apply.
Live-In Nanny Live-Out Nanny Sitter for Relatives DayCare Teacher DayCare Asst. Teacher Student Teacher Elementary Teacher Substitute Teacher PreSchool Teacher Teacher (older kids) PreSchool Asst Teacher In-Home Daycare Camp Counselor Special Needs Exp. Tutor Voluteer w/ kids Raised Children Foster Parent Au Pair Abroad Sitter for My Siblings Neighborhood Sitter Part-time Nanny Governess Summer Nanny
10. Do you ....? Please Choose One.
Have a computer Have a computer in your home or dorm room Use a computer at a school or library Use a friend's computer I do not have regular access to a computer
11. Do you ....? Please Choose One.
Have web based email like Hotmail Have email account from your ISP or school I do not have email
12. Do you smoke?
Yes No
13. If yes, how much do you smoke?
14. Can you commit 1 year or longer to the your new nanny job, assuming all goes well?
15. Do you want to be a full-time live-in nanny? We do not have any live-out jobs.
16. Are you 18 years of age or older?
17. Are you a high school or college graduate? Do you have your GED? (Choose all that apply.)
GED High School Graduate Attended College College graduate
18. What geographical areas will you consider? (Check all that apply.)
Any State East Coast US & Europe Mid-west/West Coast Can tolerate all climates Must have warm climate only (ie. US South)
19. Have you ever or are you currently a licensed childcare provider?
Yes No, go to Question 23
20. In what state are or were you licensed child care provider?
State Alabama Alaska Alberta American Samoa Arizona Arkansas British Columbia California Canal Zone Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Trust Territories Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon
21. Have you ever had a child care license suspended or revoked?
22. Within the past 7 years have you been convicted of a crime which has not been expunged from your record? Include offenses for which you served probation, paid a fine and/or served a jail sentence.
Answering 'yes' to this question will not automatically disqualify you from consideration.
23. Are you currently on parole for a criminal offense?
24. Are you able to provide documents which establish your identity and eligibilty to work in the US?
25. Do you have a valid US Driver's License?
26. Has your driver's license ever been suspended or revoked?
27. Have you ever been convicted of driving under the influence of alcohol or drugs?
28. Have you ever been dropped, suspended, or expelled from any university or college?
29. Have you ever been convicted of or found liable for fraud, deceit, misrepresentation, forgery, assault, battery, rape, sexual molestation, child neglect or child abuse in any civil, administrative or other proceedings?
30. Have you ever had a profesional license suspended or revoked as the result of charges made against you for dishonesty, fraud, deceit, misrepresentation, forgery, assault, battery, rape, sexual molestation, child neglect or abuse?
31. Are you currently on parole for a criminal offense?
32. What is your date of birth?
33. What medications, if any, do you take on a regular basis?
34. What factors led you to choose I Love My Nanny, Inc. as the agency to represent you?
(Check all that apply.)
Like the web site the best Your agency protects the nanny too Hope to get a higher salary or better benefits Heard about you from a nanny Found your web site the friendliest Your web site is the most informative Heard about you from a friend or relative Referred by college job center You screen your families more carefully than other agencies Read about agency in the New York Times or other newspapers? Saw the agency featured in Fairfield County Magazine or other magazines? Saw one of your nannies on the Leeza Gibbons Talk Show? Heard about your staff interviewed on WNYC - NY Public Radio or COURT TV Talk Show? Learned about you on the COURT TV Web Site or other corporate web site?
35. You certify that the you have answered this application truthfully?
36. If you have any questions you might ask them below or you can wait till we contact you.
Our response to the Nanny & Governess Application Part I will come to you by email (please make sure your email address is correct by checking it one more time) in less than 24 hours and sometimes as soon as an hour! Please check your email frequently.
Next, will be the Nanny & Governess Application Part II which will include information about our jobs and lots of other goodies. I promise you, you'll like it better!
Thank you again for completing our application. We are looking forward to getting to know you. We expect to begin finding you a super nanny or governess job as early as 3 days from now or whenever you need one.
You may call us at 1-860-243-2222. The I Love My Nanny, Inc. office hours are Monday-Friday 9 AM - 3 PM Eastern Time and Monday-Thursday 7-10 PM Eastern Time, excluding national and religious holidays.
Copyright 1999 by I Love My Nanny, Inc. and Jackie Williams
All rights reserved. No part of this application may be reproduced in any form without the express written permisssion of I Love My Nanny, Inc. and/ or Jackie Williams.
Thank you for taking the time to complete this Application. Select Submit Application now to send your responses to us.