Registration - Chico Nannies

Chico Nannies Registration Form

Name *

First

Last

Email *

Job Start Date *

How were you referred to Chico Nannies? *

Home Address *

Day Time Phone *

Evening Phone *

Child 1 (name and age) *

Child 2 (name and age) *

Child 3 (name and age) *

Child 4 (name and age) *

Are you requesting a Full Time (over 30 hours) or Part Time Chico Nanny? (under 30 hours) *

Yes No

What days and time to you need a Chico Nanny? *

Please describe what you are looking for in a Nanny. *

Share with us your child's activities or hobbies (if applicable) *

Please describe any cleaning duties *

Does your child have any special needs? *

Please describe any previous experience employing a nanny (details appreciated). *

Does anyone smoke in your household? *

Yes No

Do you have any pets? *

Yes No

Does either parent work from home? (please describe) *

Please list the hourly wage you will consider *the going rate for nannies in Chico is between 9-15 $/hr (Chico Nannies expects a minimum hourly wage of 9.00$/hr) *