Family Application

Thank you for choosing Cambridge Nanny Group. Tell us about your childcare needs. Our staff spends substantial time and effort to carefully match candidates to your needs so be sure to provide as much detail as possible to better serve you.

First*:
M.I.:
Last*:

Street Address*:
Apartment/Unit #:
City*:
State*:
ZIP Code*:

Primary Phone*:
Cell Phone:
Work Phone:
Primary Email Address*:
Work Email:
Emergency Contact:
Desired Start Date:
List Days you will need nanny to work:
List Hours you will need nanny to work:
Overnight Care Needed:
Travel Care Needed:

Caregiver Duties and Responsibilities

 Drive Children
 Car Available
 Children's Meals
 Children's Laundry
 Children's Ironing
 Family Meals
 Family Laundry
 Care of Pets
 Overnight Care
 Tidy Home
 Run Dishwasher
 Empty Dishwasher
 Travel with Family
 Run Errands
 Grocery Shop
 Go to Family Outings
Other:

Children

Child 1

Please list all the children in your household
Full Name*:
Date of Birth*:
Hobbies:
Special Needs, if any:
School:

Child 2

Please list all the children in your household
Full Name:
Date of Birth:
Hobbies:
Special Needs, if any:
School:

Child 3

Please list all the children in your household
Full Name:
Date of Birth:
Hobbies:
Special Needs, if any:
School:

Previous Nanny Information

Name:
Phone:
Languages Spoken to Child:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
Start Date:
End Date:
Reason for Leaving:

Home Life Information

Amenities:
Pets:
 Pool
Club Memberships:
Will the nanny have access to an automobile? If yes, please describe:
Other information we should know about your family:

Living Arrangement for Nanny

Please describe the living arrangements for your live-in nanny. Be as specific as possible:

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