Registration Parent/Guardian Name(Required) Email(Required) Address City State / Province / Region ZIP / Postal Code PhoneCurrent EmployerWork Address Job Title Work Phone Work Email Additional Parent/Guardian (if applicable) Name(Required) Email(Required) Address City State / Province / Region ZIP / Postal Code PhoneCurrent EmployerWork Address Job Title Work Phone Work Email Children Children Age Children Name Other Information What type of role are you looking to fill? (For example, Nanny, Household Manager, Home School Provider, Special Needs Professional, Nanny/Household Manager, Newborn Care Specialist, etc.)Does your child or children have any medical conditions or special needs that we need to be aware of? If so, please explain.Please describe the days and times that you will needs your caregiver to work each week. Please include any flexibility you may have.What is your ideal start date? Are you looking for a long term or short-term commitment, please explain?Would you like your caregiver to live in or live out of your home? If live in what kind of housing accommodations are you offering ?Will your caregiver need to have a driver’s license?Will your caregiver need to have a car? If not, will you be providing a car?Is there parking available for your caregiver? If so, is it street or private parking?What is your pay scale for qualified candidates?Are there any other special considerations that we need to be made aware of as we conduct your search?Please provide us with a written job description in your own words: I DECLARE TO HAVE READ AND ACCEPTED THE TERMS AND CONDITIONS THAT REPRESENT A CONTRACT BETWEEN ME, CHARM NANNIES General Terms & Conditions I DECLARE TO PERMIT THE PROCESSING OF MY PERSONAL DATA SOLELY FOR THE PURPOSES UNDER AGREEMENT WITH THE CHARM NANNIES Privacy Policy Parent/Guardian [forminator_form id=”628″]