Night Owl Nanny Care

First Name*

Last Name*

Email*

Phone Number*

Street Address*

Street Address Line 2

City*

State*

Zip Code*

Training & Experience (select all that apply)*

Health & Safety Standards (select all that apply)*

How many years of professional infant care do you have?*

How many years of professional infant overnight care do you have?*

Are you legally authorized to work in the United States?*

Do you have a valid US driver's license?*

Do you have regular and reliable access to a vehicle?*

When are you available to start?*

Do you have any situation in your life that could impact your availability?*

Please select all US states you cover*

What is your desired hourly rate?*

Are you willing to negotiate?*

Please tell us about your childcare experiences (at least 3). Please include dates of care, cities and states of care, and age of child(ren) when employment started.*

Please provide three (3) childcare references, other than family and more than as an occasional sitter. Please provide name of family, city and state, dates of care, phone number, and email address.*

Who can we thank for referring you to Night Owl Nanny Care?*

Is there anything else you would like us to know?

Today's Date*

At Night Owl Nanny Care, we operate as a marketplace connecting families with highly qualified independent contractors. We do not charge our contractors any fees to be a part of our network. Instead, we handle all marketing, client referrals, payment processing fees, contracting, and negotiation at no cost to you in addition to providing education opportunities, bonuses, and other perks. We ask contractors to cover the cost of a background check and to carry liability insurance prior to their first shift.

Signature of Applicant — I certify that all information provided is true and accurate*

Please upload a copy of your most recent Doula / NCS Resume*

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PDF or Word document, max 10 MB