Aloha Nannies
baby child infant care
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FAMILY APPLICATION

Please complete the following form and click Submit.  After submitting the form, please be aware that you must
pay the non-refundable deposit BEFORE any applications will be shared with you.

For our rates click here.

You may choose to click on the PAYPAL button to pay over the internet on our secure server.

Hawaii Payments here:                                                                               


A * next to each field label means that an entry in this field is required.
* First Name
* Last Name
Spouse First Name
Spouse Last Name
* Address
* City
* State
* Zip
Country
Home Phone
(include area code)
Work Phone
(include area code)
Cel Phone
(include area code)
Fax
(include area code)
* E-mail Address
Occupation Employer Name Phone
Spouse Occupation Spouse Employer Name
Approximately how many hours do you work? Approximately how many hours does your spouse work?
Do you work from home (Home Office) Yes No Does your job require you to travel? Yes No
Is your home accessible by public transportation? Briefly describe the type of parent you are: (easy-going, strict, etc.)
How soon do you need a nanny to start?
 		 Length of Employment:
Temporary (less than a month) 1-6 months 6-12 months
1 Year + Full Time  Part-time  Weekends only
Live-In  Live-Out
Nanny would be required to do: Describe what kind of person would best fit in your family:
Light house cleaning
Household management
On-call baby sitting
Mother's helper		 Baby nurse
Child care Only
 
Please list any qualities you are looking for in a nanny:
(i.e., swimming, CPR, athletic, college background, etc.)
 Nanny's work schedule
Gross hourly/weekly salary offered:
 Health benefits provided?
Yes   No		 Age preferences of nanny (if any):
  
Will nanny be utilized as a driver? 
Yes  No		 Will car be provided?
Yes  No		 If vehicle is provided, will nanny have use of the car for personal use?
Yes   No
If nanny provides her own vehicle, how do you plan to reimburse her for insurance and gas if she uses it for errands, carpools, outings, etc.?
What personality traits would you like to have in your nanny?
  
Please list any extra duties required, including housework and cooking:
Cook for children
Beds for children
Occasional overnights
Tutoring/Homework
Shopping/Errands
Indoor plants		 Laundry for children
Dust/Vacuum
Cook for family
Beds for family
Additional babysitting
Ironing
Travel		 Driving children
Laundry for family
Bathroom
Pet care
Floors
Other
Do you have a housecleaning service? Yes   No  
About the children:
Briefly describe each child, giving an idea of their termperament, likes, dislikes, etc.
Are you expecting any children in the next year?  Yes  No    If Yes, when?
Do you live in :Private House  Apartment   Townhouse     Is smoking allowed in the house?  Yes  No
What area/neighborhood do you live in:
 Describe the nanny's living arrangements:  (live-in employment only)
Describe your family's interests, hobbies and lifestyle:
 Which of these styles of housekeeping best describes your household?
Tidy and clean; everything in its place
Lived-in look; newspapers and toys in areas where activity is ongoing
Clutter does not bother me
Please share any additional comments of favorable/unfavorable experience with prior nannies:
Should nanny portfolios be mailed to you?  Yes  No If yes, please provide mailing address:
Peronal References: (please list 3)
 In case of emergency, please notify:

Terms and Conditions: Nannies/providers are not employees, subcontractors, or agents of Aloha Nannies. Aloha Nannies makes no warranties, written or implied, regarding the nature and quality of the provided child care and accepts no liability for the services rendered by said providers including, but not limited to, any intentional or negligent acts by the providers resulting in injury to children under their care and/or damage to the property of the children/parent/hotel/resort.
* I agree to terms and conditions above.

 


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