Candidate Application

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Preferred First Name*
Legal First Name*
Middle Name(s)
Last Name*
Cell Phone*
Home Phone
Email*
Address*
Street Address City State Zip
Position(s) Desired*
- Long-Term Nanny
- Temporary/On-Call Nanny
- Newborn Care Specialist
- Family Assistant
- Personal Assistant
- House Manager
- Private Educator
Please select Personal Assistant, not Family Assistant if you do not have childcare experience.
Select all areas where you are willing to work*
- San Francisco to San Bruno / Airport
- San Mateo area (Millbrae to San Carlos)
- Redwood City to Palo Alto / Stanford / Portola Valley
- Los Altos, Mountain View, Sunnyvale, Cupertino
- South Bay (Milpitas, Santa Clara, San Jose, Saratoga)
- East Bay
- North Bay (Napa, Sonoma)
Additional notes on desired job location (optional)
When are you available to start a job?*
MM slash DD slash YYYY
Maximum number of hours per week*
Please enter a number from 15 to 60.
Schedule Desired (check all that apply)*
- Full Time (40+ hrs/wk)
- Part Time (15-39 hrs/wk)
- Summer Position
Select all part-time schedules you would accept*
- Full Days (but not every workday)
- Mornings-only
- Afternoons-only (12pm - 6pm)
Are you willing to:
- Travel with the family
- Occasionally stay overnight
- Occasionally work evenings
- Occasionally work weekends
Are you seeking a Live-in position?*
- Yes
- No

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Your Weekly Availability
- Monday
Hours Available
Unavailable / Notes
- Tuesday
Hours Available
Unavailable / Notes
- Wednesday
Hours Available
Unavailable / Notes
- Thursday
Hours Available
Unavailable / Notes
- Friday
Hours Available
Unavailable / Notes
- Saturday
Hours Available
Unavailable / Notes
- Sunday
Hours Available
Unavailable / Notes
Additional Scheduling Notes (optional)

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Your Skills and Experience
Highest level of education attained*
What ages of children do you have PROFESSIONAL experience with*
(Do not include experience caring for family members)
- Infant (0-1)
- Toddler (1-3)
- Preschool (3-6)
- Grade School (6-13)
- Teenager (13-18)
Additional notes on child ages you have experience with (optional)
Do you have experience working with twins?*
- Yes
- No
Do you have experience working with 3+ children?*
- Yes
- No
Select Special Needs conditions you are experienced with
- Autism
- ADD
- Food allergies
- Speech problems
- Medical issues
- Psychological issues
- Other
More details on your special needs experience
Select all items you have experience with
- Cooking for Children
- Cooking for Family
- Feeding/Walking Pets
Select additional household duties you have experience with
- Auto maintenance
- Personal correspondence & gifting
- Home organizing projects
- Travel arrangements & preparations
- Vacation home care
- Staff management
- Making/changing bed linens
- Vacuuming/sweeping
- Trash & recycling
- Overseeing household repairs
Select business duties you have experience with
- Calendar management
- E-mail management & correspondence
- Expenses, bills, & invoicing
- Managing deliveries
- Ordering supplies
- Digital photo cataloging
- Event planning
Select all languages you speak fluently
- Cantonese
- Farsi
- French
- German
- Hindi
- Italian
- Japanese
- Mandarin
- Portuguese
- Russian
- Spanish
- Tagalog
Other Language:
Are you able to swim?*
- Yes
- No
Are you able to bike?*
- Yes
- No
Please list any sports that you play
Please list any musical instruments that you play
Job Aspects
Are you willing to work in a home with a:
- Dog
- Cat
Select pets you have in your own home:
- Dog
- Cat
Any pet allergies / additional notes about pets
Are you willing to use your vehicle on the job?*
- Yes
- No
Can you drive a stick shift?*
- Yes
- No
Car Year, Make and Model*
Example: 2010 Toyota Prius
Number of passengers your car can carry*
Do not count the driver
Please enter a number from 1 to 9.
Are you willing to:
- Cook for Children
- Cook for Family
- Feed/walk Pets
Household duties you are willing to perform:
- Grocery shopping
- Errands
- Children's laundry
- Family laundry
- Washing dishes
- Light cleaning (child-related)
- Light cleaning (entire house)
- Family calendar management
- Managing deliveries/ordering supplies

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Education / Training / Certification
High School Name/Location*
High School Graduation Year*
Please enter a number from 1950 to 2050.
College Type
Name/Location
Course of Study
Degree or Certification
Last Year of Attendance
Please enter a number from 1950 to 2050.
- Currently enrolled
College Type
Name/Location
Course of Study
Degree or Certification
Last Year of Attendance
Please enter a number from 1950 to 2050.
- Currently enrolled
College Type
Name/Location
Course of Study
Degree or Certification
Last Year of Attendance
Please enter a number from 1950 to 2050.
- Currently enrolled
Name(s) used while attending school / college
Number of Early Childhood Education/Child Development units completed (if applicable):
Please enter a number from 0 to 99.
Other Education / Training
Are you registered with TrustLine?*
- Yes
- No
When?*
MM slash DD slash YYYY

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Compensation and Insurance
Please provide the minimum compensation you would be willing to accept:
Per Hour
Per Week
Per Month
Do you require your employer to provide health insurance?*
- Yes
- No
Monthly cost*
Health Insurance Notes (optional)
Last 10 Years of Work History
List the most recent position first

Employment History

Position / Job Title	Start Date (mm/yyyy)	End Date (mm/yyyy)	Actions

There are no Employers.

Maximum number of employers reached.

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Personal Reference 1
A personal reference is someone who knows you on a personal level, such as a friend or neighbor, who is NOT a family member or a previous employer
Name*
Phone*
Email
Year you two met*
Please enter a number greater than or equal to 1950.
How do you know this person?*
Personal Reference 2
A personal reference is someone who knows you on a personal level, such as a friend or neighbor, who is NOT a family member or a previous employer
Name
Phone
Email
Year you two met
Please enter a number greater than or equal to 1950.
How do you know this person?
Personal Reference 3
A personal reference is someone who knows you on a personal level, such as a friend or neighbor, who is NOT a family member or a previous employer
Name
Phone
Email
Year you two met
Please enter a number greater than or equal to 1950.
How do you know this person?
Emergency Contacts
Name*
Phone*
Relationship*
Name
Phone
Relationship

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More About You
What makes you special as a nanny?*
What types of activities do you enjoy doing with children?*
What are your long-term career goals?
What do you enjoy doing in your free time?
Essential Job Functions
Please read the following list of essential job functions of a nanny and answer the question below. Note: Child or children in Nanny’s care will weigh between 7 to 30 pounds. The essential functions of a nanny may include:
- Lifting child up from the floor, or from a seated position
- Pushing child or children in stroller
- Holding child in one arm while climbing stairs, using the other to hold onto the railing
- Lifting children in and out of cribs, high chairs, and car seats
- Carrying child in an infant carrier. Carrier will add ~5-10 pounds and requires one arm carrying.
- Walk and carry child in baby carrier that is worn like a vest such as a Baby Bjorn
- Run and catch a toddler in a public place, such as a park or museum
Are you able to perform these functions with or without reasonable accommodation?*
- Yes
- No
Are you able to lift up to 30 pounds?*
- Yes
- No
Please explain:*

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Acknowledgements
Stanford Park Nannies ("SPN") does not unlawfully discriminate in referrals, and no question on this application is used for the purpose of limiting or excluding any applicant for consideration for referrals on any basis prohibited by applicable laws or regulations.
Information you provided is true, accurate, complete and correct*
I certify that the information contained in this application is true, accurate, complete and correct. I understand and agree that any misrepresentation, falsification, or material omission of information on this application may be grounds for SPN to refuse to refer me for employment.
No guarantee by SPN*
I understand and agree that the information supplied on this application has been given for the purpose of evaluating my qualifications for referral by SPN. However, I understand and agree that SPN does not guarantee my referral, employment, compensation or terms of employment with a client.

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Step 1 of 8

Your Weekly Availability

Your Skills and Experience

Job Aspects

Education / Training / Certification

Compensation and Insurance

Last 10 Years of Work History

Personal Reference 1

Personal Reference 2

Personal Reference 3

Emergency Contacts

More About You

Essential Job Functions

Acknowledgements