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Contact Information
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To view, Please  or 
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Background Information
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| Have you ever been arrested or convicted of any offense? | No |
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Family Information
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| Do you have children? | Yes |
| If your children will accompany you, please list their ages: | |
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Citizenship Information
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| Nationality: | American |
| Country of Residence: | US |
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Health Information
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| Weight: | |
| Height: | ' " |
| Do you smoke? | No |
| Are you currently under any doctor’s care, receiving counseling or have any physical, mental or medical impairments which would interfere with your ability to perform the job? | No |
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Skills Information
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| What is your level of education? | Some College but Non-Graduate |
| Languages | English |
| Do you have a valid drivers license? | Yes |
| Can you swim? | Yes |
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Employment Information
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| Preferred Weekly Salary: | Negotiable |
| Position Duration: | Permanent / Part-time |
| When are you available to start?: | Start Date Is Flexible |
| You would prefer to live: | Live-out |
| Preferred States: | IL |
| You would be willing to care for the following ages: | No Preference |
| Nanny Experience: | 5 years of experience caring for ages Infant to 10 with family sizes up to 3 |
| Babysitting Experience: | 10+ years of experience caring for ages Infant to 10 with family sizes up to 4 |
| You can care for the elderly: | Yes |
| Elder/Companion Care Experience: | 0 years of experience
I have 1 year experience working with the elderly. |
| Available for special needs: | Disabilities, Behavioral Issues, Twins/Multiples |
| Do you have a car to bring to the job? | Yes |
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Availability Information
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| Early Morning (6a-9a) |
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| Late Morning (9a-12p) |
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| Early Afternoon (12p-3p) |
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| Late Afternoon (3p-6p) |
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| Early Evening (6p-9p) |
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| Late Evening (9-12) |
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| Overnight (12a-6a) |
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| Why do you want to become a nanny? |
| I find it to be a great honor to be entrusted with the care of children, and I find that it challenges me to find what works best with each individual child. |
| Describe your past childcare experience: |
| I have cared for children in many different situations. I worked for 1 year in a daycare, cared for children in their homes 3+ years, for many years I provided daycare in a church setting, lastly I have taken care of children in my home on and off over the last 20 years. |
| Additional Comments: |
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