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Satisfied Customers
"I was amazed at your promptness in responding to my request. I was specific in my requirements and was happy to find that you had someone for me to interview almost immediately. Thank you again!"
-The Hanshon Family

Boy coloring For Families: Application

Thank you for your interest in The Philadelphia Nanny Network, Inc. We are pleased to help you with your child care needs. By completing this application we can begin the process of introducing you to nannies in our pool of candidates. We will need a signed contract as well, along with the $100 deposit. The contract can be transacted via fax.

The deposit can be charged to MasterCard or VISA. A staff member will call you upon receipt of this application. We look forward to working with you and guiding you through the hiring process. Remember, we refer full time permanent live-in nannies in NY (not NYC), CT, NJ, PA and DE. We refer full time permanent live-out nannies in Philadelphia and its surrounding suburbs, the Delaware Valley. We do not refer part time candidates. That service would fall under our Babysitters division as they would not be permanent placements.

Mother's Name:

Occupation:

FT PT

Father's Name:

Occupation:

FT PT

Home Address:


City
State Zip Code

Business Address:


City State

E-Mail Address (required):

Home Telephone

Business Telephone(s)

Child(ren)'s Name(s)

Age Birthday

Age Birthday

Age Birthday

Age Birthday

Do you plan on having any more children?
Yes No

If so, Approximately when?

Do you own pet(s)?
Yes No

If so, what type(s)?


Who cares for them?

Does your child take any medications?
Yes No

If so, please explain

Any special needs?
Yes No

If so, please explain

Briefly describe the children's day.

Briefly describe the parents' day.

Briefly describe the nanny's typical day.

Duties and Responsibilities
Check as desired.

Transporting of child(ren)
Travel with family. If yes, where do you typically go?
There will be a car available
Children's laundry
Children's meals
Care of pets
Grocery shopping
Accompany family on outings
Tidy home

Do you have a housekeeper?
Yes No

If so, how often?

If no, who does the cleaning?

Nanny's work schedule:

Days on
Days off
Hours needed
Live-in Live-out Either

After submitting this part of the form, you will be prompted to complete Family Application Part Two.



Philadelphia Nanny Network 610-645-6550          10 East Athens Avenue, Suite 214, Ardmore, PA 19003
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