All-American Nanny

If you are a family in search of a loving nanny to care for children, please fill out our on-line application to send it via e-mail. The initial application process is free*. After receiving your on-line registration, we will review your application and respond promptly to schedule a Family Interview via telephone. We look forward to speaking with you. For questions, call All American Nanny at (800)3-NANNYS.

Personal Profile

First name:

Last name:

Middle Initial:

Title:

Street address:

City:

State:

Country:

Zip/Postal code:

Work Phone:

Extension:

Home Phone:

Fax:

E-mail:

Own or Rent:

Your employment and education history

First Parent's Name:
Occupation:
Employer:
Work Phone:
How long at this position?
Approximately how many hours a week working?
Does your job require you to travel?
If yes, describe the frequency and duration:
Highest Level of Education:
Year Degree Achieved:
Briefly describe the type of parent you are (eg. nervous, easy going, strict, etc):
Are you employed outside of the home?	Yes No
Your spouse's employment and education history
Second Parent's Name:
Occupation:
Employer:
Work Phone:
How long at this position?
Approximately how many hours a week working?
Does your job require you to travel?
If yes, describe the frequency and duration:
Highest Level of Education:
Year Degree Achieved:
Briefly describe the type of parent you are (eg. nervous, easy going, strict, etc):
Are you employed outside of the home?	Yes No

About the Family

Number and type of pets:
Any other adults live in house?	YesNo
If so, who?
Does anyone in the home smoke?	YesNo
Would you describe your lifestyle as:
Any special observances (e.g. Diet, holidays, etc.)
Is your home accessible by public transportation?	Yes No
If so, explain:
Family Interests and Hobbies (Optional)
What is your religion?

Personal References

Name:

Phone:

Name:

Phone:

About the Children

Please indicate Number of Children and Ages:

Name	Sex	Birth Date	School (Days/Hrs)
Briefly Describe child's personality and developmental stage, explain special requirements
1.

2.

3.

4.

Are you expecting any more children in the next year?	Yes No
If yes, when?
Do any of your children require special care, medications or therapy of any kind?	Yes No
If yes, please specify:

About the position

When do you need nanny to start?
Do you need a full-time, live-in nanny?	Yes No
Age preference of nanny, if any?
Working hours of the nanny?
Days Off:
Gross weekly salary that you are offering:
Do you need a driver?	Yes No
If yes, they must drive an:
Does she need to have her own car?	Yes No
If a vehicle is provided:
Will the nanny have use of a car for work and personal use?	Yes No
If yes, is it a spare car strictly for use be the nanny?	Yes No
Comments:
Do you allow smoking?	Yes No
If so, smoking only in restricted areas?	Yes No
Minimum Education Required:
Nannies generally work 5 days a week, 10 -12 hours per day. They are responsible for all child-care related duties. If you have needs beyond this, please specify:

Living Accommodations
Please identify nanny's living quarters and benefits:

Type of Residence:

Private ResidenceApartmentTownhouse

Approximate square footage:

Will the nanny have a private bedroom?

Yes No

Approximate size of bedroom:

Will the nanny have a private bathroom?

Yes No

If no, who will the nanny share the bathroom with?

If you provide a separate living area
for the nanny please describe (example:
separate wing, private entrance, apartment
above, carriage house, etc.):

Health Benefits provided?

TV or Radio in room?

Check these housekeeping chores you
will require of the Nanny:

Children's Laundry	Family Laundry	Vacuuming
Dusting	Running Errands	Meal Preparation - Family
Meal Preparation - Children	Car Pooling	Other:

Do you have a regular housekeeper?

Yes No

Do you have other staff members?

Yes No

If yes, please describe:

Will the nanny travel with you?

Yes No

If yes, where and how often?

Do you have any pets?

Yes No

If yes, please specify:

Have you ever employed
an in-house child care provider?

Please describe the experiences
(i.e. how long did each one stay, where did
you obtain the nanny from,
why did each they leave?):

Please share any additional comments of
favorable/unfavorable experiences
with prior nannies:

List any specific qualities that you are looking
for in a nanny (i.e. swimmer, athletic,
college background):

(Use the submit button to send the application via e-mail or print it out and fax it to (804) 342-9300.)

If you wish to print this form please click 'Print' from your browser menu. You may submit this form using the Postal Service if you desire. Please mail completed form to:

All American Nanny
2120 Staples Mill Road
Suite 107
Richmond, Virginia 23230

*The Review of this registration form is free. After the reviewing process we contact you to set up the family interview via telephone with one or both of the parents. Our family interview fee is $100.00, payable by check or money order.

All-American Nanny, Ltd.