Job Application: Baby Nurse/Night Nanny

Name: Perfect Bliss Care
Address: 444 N. Michigan Ave, Chicago, Illinois, 60611, United States
Telephone: 773-690-3762
Rating: 5

Title: Baby Nurse/Night Nanny

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details

First Name *
Last name *
Email Address *

Contact Details

Address *
City *
State
Zip code *
Country *
Cell phone *

Qualifications

Did you complete high school? *	Yes No
Name of High School
GPA
Have you graduated college?	Yes No
Name of College
Major
Training/Certifications. List all that apply
Upload your Resume *
Are you legally authorized to work in the United States?	Yes No
Are you over 18 years old?	Yes No
Do you have at least 2 years experience in a Caregiver position or in a Household Service position?	Yes No

What are your hobbies and Activities of Interest? Select all that apply.	Reading Watching TV Family Time Going to Movies Fishing Computer Gardening Renting Movies Walking Exercise Listening to Music Entertaining Hunting Team Sports Shopping Traveling Sleeping Socializing Sewing Golf Church Activities Relaxing Playing Music Housework Crafts Watching Sports Bicycling Playing Cards Hiking Cooking Eating Out Dating Online Swimming Camping Skiing Working on Cars Writing Boating Motorcycling Animal Care Bowling Painting Running Dancing Horseback Riding Tennis Theater Billiards Beach Volunteer Work

Background

Do you have a valid Driver\\\\\\\\\\\\\\\’s License?	Yes No
Do you have a car you can use for work?	Yes No
How far are you willing to travel or commute each day to work?	5 Miles to 15 Miles 15 Miles to 25 Miles 25 Miles or more
What position are you interested in? Please select all that apply below	Full time Nanny Part Time/Temporary Nanny Nanny share Babysitter / Occasional Sitter Baby Nurse/ Night Nanny House Manager Senior Caregiver/ Companion Housekeeper
What is your desired salary?
What is your earliest start date?
Are you comfortable working in a home where either one or both parents work from home?	Yes No It depends
Are you comfortable working in a home with pets?	Yes No It depends
Do you have any pet allergies?	Yes No
If you answered yes above, please specify your pet allergy	Cats Dogs Other pet
Are you willing to travel occasionally for work?	Yes, I am open to any kind of travel Yes, but only domestic Yes, but only international Not willing to travel
Which age of children are you most comfortable working with?	Preemies Newborn /Infant Toddlers Preschoolers Elementary High School
Do you have experience working with multiples?	Yes, twins Yes, triplets Yes, 2-3 kids Yes, 4+ kids Yes, nanny share No
Do you have experience working with infants, children, or adults with special needs?	Yes No
In 100 characters or fewer, tell us what makes you the best Candidate for the position you have applied for.
List 3 personal references : Please enter names and contact information (Phone/Email)
List 3 Professional references.: Please enter names and contact information (Phone/Email)
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