
	About Us \| Meet Our Nannies \| FAQs \| Testimonials \| Resources For Parents \| Contact Us \| Forms

Preliminary Placement Questionnaire

Please answer the following questions to complete our Preliminary Placement Questionnaire.

First Name

Last Name

Address

City

State

Zip

Cell Phone

Alternate Phone

Please tell us about what you're looking for in a new position.

Desired Position
Full Time
Live-out (35+ hours/week)
Live-in (35+ hours/week)
Part Time (less than 35+ hours/week)

When are you available to start?

What days and hours are you available to work?

How long of a commitment can you make to a nanny position?

Where would you like to work?

What age groups are you experienced with?
Infants
Toddlers
Preschoolers
School Age

Do you have a drivers license
Yes
No

Do you own a vehicle?
Yes
No

Do you have the legal right work in the United States?
Yes
No

Top of Page

"Each member of the
staff is very friendly and
extremely professional."
Roxanne T.,
Great Lakes, IL

"We will always mention
North Shore Nannies to
our friends and
colleagues who are in
need of caretakers for
their children."
Paul G., Chicago

"I like working for North
Shore Nannies because
they are not only
concerned with the needs
of the clients but also
care about the nannies'
concerns."
Heni R., Chicago