Family Application Parent(s) Name(s) * Closest Metro Area Chicago Austin/Houston DC Metro NYC Metro Miami/Tampa Charlotte NC Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email What is/are your profession(s)? What is your ideal schedule/number of hours for your nanny? Is there any flexibility in that? Names and ages of children in the home? Are they all in need of care? Start date for nanny? Are there any pets in the home? Is there a family car to use, or will the nanny need to use their own car to transport children? If nanny's car, how many carseats does it need to accommodate? Are there any allergies, sensitivities, food preferences or health challenges we should keep in mind? How would you describe your parenting style and/or philosophy Is there a personality type and/or certain values that would work best with your family? Please give a brief description of the duties you would like nanny to be responsible for. Please tell us which duties are must haves and which duties would be ideal, but not deal breakers. Is there anything else about your family you’d like to share with us? How did you hear about us? Google Friend Facebook group Facebook ad Instagram INA Other Doulas of Capitol Hill Doulas of PG If you were referred by a friend, we would love to thank them! Thank you!