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Pre-Application Form:

Please click here if you would like to go directly to our  nanny application

First Name:
Last Name:
Street Address:
City:
 State/Province:
 
 Zip/Postal Code:
 
Email Address:
Home Phone:
 
Cell Phone:
Are you legal to work in the United States?  Yes   No

Do you have a valid drivers license?  Yes   No

Do you need to bring a child to work with you?  Yes   No

Do you have a car you can bring to work each day?  Yes   No

Date of High School Graduation (month/year):
 
Please check your job commitment ability:
        Unable to make a one year commitment to any job
        Can make a one year commitment to day hours with a fixed schedule
        Can make a one year commitment to day hours that can be flexible
               around my schedule
 
Please list the number of total hours you want to work each week. Don't forget to list the specific days of the week and daily work hours for your availability. (example would be Tuesdays and Thursdays from 8am to 5pm).
 
Please put a check mark next to each age group that you have worked with in your previous jobs.:
        Birth to 12 Months
        1-3 years
        3-5 years
        5-12 years
        12+ years
Please check all the boxes that apply to your paid or volunteer childcare work experience:
        Nanny
        Daycare
        Elementary Teacher
        Preschool
        Camp Counselor
        Church Nursery
        Regular Babysitter
        Other:   Please Describe:
 
Please describe the total number of months or years of childcare experience where you can provide current reference information:

 
How did you hear about our agency?

Is there anything else you would like to tell us?


Call us with any questions.

Jane: 303-858-9060  jane@coloradonanny.com

 

©2003 Colorado Nanny, Inc.