* = Required Information
Contact Information
First Name
*
Last Name
*
Address
Street Address
*
City
*
State / Province
*
Postal / Zip Code
*
Home Phone Number
Area Code
*
Phone Number
*
Work Phone Number
Area Code
Phone Number
Cell Phone
Area Code
*
Phone Number
*
Other Phone Number
Area Code
Phone Number
Email
*
Other Email
List your family's need below
Start Date
Children's Ages (Separate by commas)
*
Salary Range
Type of Care
Live-In
Live-Out
Either
Nanny Schedule
Sunday
Example 8:00 am - 6:00 pm
Type N/A for off day
Monday
Example 8:00 am - 6:00 pm
Type N/A for off day
Tuesday
Example 8:00 am - 6:00 pm
Type N/A for off day
Wednesday
Example 8:00 am - 6:00 pm
Type N/A for off day
Thursday
Example 8:00 am - 6:00 pm
Type N/A for off day
Friday
Example 8:00 am - 6:00 pm
Type N/A for off day
Saturday
Example 8:00 am - 6:00 pm
Type N/A for off day
Do you have any pets?
Yes
No
Possibly in the future.
Responsibilities and Requirements
Please mark any requirements below
Laundry
Cooking
Vacuuming
Ironing
Housekeeping
Pet Care
Run Errands
Drive Children to Activities
Ability to Swim
Occasional Overnights
CPR Certified
Yes
No
First Aid Certified
Yes
No
How did you hear about
AG EUNICE INTERNATIONAL CARE AGENCY
?
Additional Notes
Submit