Family Application Parent 1 Name * First Name Last Name Parent 2 Name First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email * Nearest Metro Area? * Atlanta Nashville Chicago Greenwich, CT/Westchester, NY What is your ideal start date for a nanny? What is your profession? Which days and hours do you need child care? Please list the names and ages of your children. Do you have any pets? Do you need a nanny to have their own car to transport children, or is there a family car available to use? They need their own car A family car is available to use Are there any allergies or health conditions we need to be aware of? How would you describe your parenting style and/or philosophy? What personality type do you think would work best with your family? Are there household duties other than caring for children you'd like candidates to consider? If this role is outside of a traditional nanny role, please provide a description. Is there anything else about your family you'd like to share with us? Who can we thank for referring you? Thank you!