Birmingham Babysitter Application

First name

Last name

Phone

What school and program are you enrolled in or what healthcare profession do you work in?

What is your availability like?

Tell us about yourself!

What kind of things do you like to do while spending time with children?

Briefly describe any experience you have with children?

Briefly describe any additional work experience you have?

Please describe why babysitting is important to you and why you would like to work for Nurse Nanny.

How did you hear about us? If recommended by someone, who?

Do you confirm you have been background checked by your school or profession in the last 12 months?

Please preference parents you have babysat for as references.

Reference #1 First and Last Name

Reference #1 Phone Number

Reference #2 First and Last Name

Reference #2 Phone Number

There is a $20 application fee.

When you click "Submit," you will be redirected to a payment page through Square. You must pay the fee before your application can be processed. Please allow 1-2 weeks for your application to be processed.