On-Call Team

Are you currently CPR &First Aid Certified?

Yes

No

Do you a Have a Reliable Vehicle?

Yes

No

Are you willing to drive children?

Yes

No

Cell Phone Service Provider

Are you socially distancing?

Yes

No

Will you administer medication if needed?

Yes

No

Due to liability and safety precautions, I agree to only accept shifts from families that have been confirmed from corporate or the agency. If a family from corporate reaches out to book shifts privately, I will not accept the shift unless confirmed with corporate or the agency. *

I agree

I do not

Please describe your childcare / nanny experience history in 250- 500 characters (Required)

Please Attach a Photo of You (This is for your account in our system)

Do You Have Any Tattoos?

Yes

No

Please upload a picture of your CPR Certification (this is required)

Email: *

Check here to receive email updates

Are you a certified Lifeguard?

Yes

No

How many would you like to have listed as dependents? EX. 0, 1,2?

Are you a U.S. Citizen?

Yes

No

Please list at least three references email addresses below (these can be a mix of personal and professional). We require at least three references on file to activate your account.

If YES, Please Describe. Are They Visible or Hidden?

If not, how will you travel to shifts?

How long are you looking to work?

1-3 Months

3-6 Months

6-12 Months

1 Year +

Please share any additional details you'd like to add to the question above:

Please upload a picture of your Driver's License (this is required)

If Not what is your Visa type?

Green Card

Working

Student

Tourist

Are you a non-smoker?

Yes

No

Address

Phone

Full Name: *

Please List any Hobbies or Personal Interests:

How are you filing on your tax document - Married / or Single?

Have you ever been Arrested or Charged with Criminal Conviction? (i.e. DWI, etc.)

Yes

No

The information provided in this document is accurate to the best of my knowledge.

Have you had COVID previously?

Yes

No

Is there Anything on your Driving Record that we Should be Aware of?

Please upload a picture of your Driver's Insurance (this is required)

​​​​Above & Beyond Nanny Services, Inc.

Above & Beyond Nanny Services, Inc.