Thank you for your interest in North Shore Nannies!

We look forward to assisting you with this most important search. Here are a few things to keep in mind as we get the process started:

Permanent placements with our agency start at 30 hours per week.

Once we receive your forms, we'll get in touch to arrange an in- depth phone consultation.

Most jobs are filled within 2 -8 weeks of the anticipated start date.

Parents' Information

Parent 1 First Name:

Parent 1 Last Name:

Parent 1 Occupation:

Parent 2 First Name:

Parent 2 Last Name:

Parent 2 Occupation:

Home Address:

City:

Zip Code:

Phone:

E-Mail:

Child 1

Name:

Age:

Date Of Birth:

Any special needs/issues/concerns?

School schedule/activities

Child 2

Name:

Age:

Date Of Birth:

Any special needs/issues/concerns?

School schedule/activities

Child 3

Name:

Age:

Date Of Birth:

Any special needs/issues/concerns?

School schedule/activities

Child 4

Name:

Age:

Date Of Birth:

Any special needs/issues/concerns?

School schedule/activities

Scheduling

Start Date:

Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Year 20232024

Days:

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Hours:

Flexibility Needed:

Additional Information

Do you travel for business?
Yes
No

Does either parent work from home?
Yes
No

Is driving required?
Yes
No

Do you provide a vehicle/mileage assistance?
Yes
No

Are there pets in your home?
Yes
No

If so, please describe:

Salary Range:
(Please don't leave this blank or write "market." We are looking for your initial ideas. We will discuss this thoroughly during our phone consultation.)

Benefits:
Vacation
Paid Holidays
Personal / Sick Days
Assistance With Health Insurance

Please tell us a little bit about your family:

What qualities are most important to you in a caregiver?

Who should we contact to schedule a thorough discussion of your familiy's needs?

What is the best time to reach you?

Please plan on 15 - 30 minutes for a detailed phone conversation.