MORE THAN A NANNY ® New York (NY) and New Jersey (NJ) Nannies and Newborn Care Specialists (Baby Nurses)

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Proudly Serving the New York (NY), New Jersey (NJ) and Connecticut (CT) Area - Tel: 1-800-399-9517

Nanny Registration Form (for Families)
Please complete our registration form below.  Please provide as much information as possible which will help us identify your needs and determine our ability to meet them.  This information is secure and will not be used or sold for any other purpose.  A nanny Care Coordinator will contact you soon to verify your needs further and go over our process if this hasn’t been done already. 

Your Location:
Start Date Nanny Desired
Live in or Live out?
Do you need a Driver?
Part time or Full Time Position?
Parent #1 Full Name:
Parent #2 Full Name:
Present Address:
City, State, Zip
Home Phone Number:() -
E-mail Address:
Fax Number:() -
Parent #1 Occupation:
Parent #2 Occupation:
Parent # 1 Alternate Phone:() -
Parent # 2 Alternate Phone:() -
Please tell us how you heard about More than a Nanny:
Child #1 (Name, Age, M/F, Hobbies):
Child #2 (Name, Age, M/F, Hobbies):
Child #3 (Name, Age, M/F, Hobbies):
Child #4 (Name, Age, M/F, Hobbies):
If any of your children have special needs, please explain:
Are you expecting any more children within the next year?
Please list all the duties/responsibilities the nanny with have
What are the qualities you are seeking in a nanny?
Will a car be provided for use on the job?
Please list any benefits offered (healthcare, vacation pay, etc.)
If you have employed a nanny previously, please explain what you liked and disliked about the experience. Why is the nanny no longer in your household?
If you have any household pets, please explain (dogs - please list weight/breed)
Nanny Work Schedule (Please list days with start & finish times)
Weekly GROSS Salary Range:
List any Overtime pay/Overnight pay:
Please provide any additional information:
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More Than a Nanny LLC© 800-399-9517
Infant Nanny & Newborn Care Specialist / Baby Nurse Services in New York, New Jersey, Connecticut