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We want to ensure that your form reaches us, and are happy to help with the process Nanny Application for Employment Name: Date: Home address: City Phone: home work Zip Code cell E-mail address: Preferred areas for employment: Are you eligible to work in the U.S. How were you referred to Babies to Boomers Type of position you are seeking (check as many as apply): Permanent Full-time Days Weekends 24 Hour/Overnight Temporary Part-time Evenings Live-in Work around school schedule Days/ Hours Available: Do you have an insured, reliable vehicle In case of emergency, please contact: Phone: Relationship to you: EDUCATION: Dates Institution City State Last Grade Completed Area of Study Degree High School: College: College: Trade School: Other Courses: Have you had CPR Expiration date: Have you taken Child Development courses Have you taken any Education classes 1st aid Expiration date: Home Economics classes PERMANENT CHILD CARE EXPERIENCE: Please list jobs of 3 months or more, i.e..
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