Parents Application

Parent Application
Mother's Name:
Occupation:
Place of Employment:
Daytime Phone:
E-Mail Address:

Father's Name:
Occupation:
Place of Employment:
Daytime Phone:
Evening Phone:
Best Time to Call:

Home Address:
City:
State:
Zip Code:

Please Describe your children:

Names	Birth date	Gender	School Hours
		Male Female
		Male Female
		Male Female
		Male Female

Have you ever employed a nanny?	Yes No
If so, please describe the relationship:

Please list any pets:
Please note anything else about your family/household you feel is important for us to know:

Nanny Information:

Live Out	Live In
Full Time	Part Time	Summer
Start Date:

Days/Hours:
Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday

Salary
Weekly Gross (Before Taxes):
Weekly Net:
Benefits(vacation, holidays, health insurance):

	Please check all the duties you would like your nanny to be responsible for related to the child(ren).
	Children's Laundry
	Bathing Children
	Preparing Meals for Children
	Daily Log of Children's Day
	Picking up after Children
	Reading to Children
	Age Appropriate Activities
Other:

Do you want your nanny to transport your children:	Yes No
If yes, please describe:

Would you provide a car?	Yes No
Would you reimburse your nanny for mileage?	Yes No
If so, at what rate?

Are you a non-smoking family?	Yes No


Please describe the personality of a nanny that would best suit your family (athletic, outgoing, laid back).
Please describe a typical day.
Please describe special requirements you are looking for (i.e. religion, education, experience).
Please describe your discipline style.
If live-in, please describe living accommodations.

** How did you hear about Metropolitan Nannies? (required)