Family Application

Thank you for taking the first step to finding the perfect Nanny or Household Employee with Cambridge Nanny Group. We are not accepting new clients right now but we’re happy to add you to our wait list.

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:

I agree to the Terms of Use.