| First Name: |
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| Last Name: |
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| Date of Birth: |
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| E-mail Address: |
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| Reenter E-mail Address: |
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| User Name: |
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| Password: |
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| City: |
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| Home Phone: |
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| Are you a U.S. Citizen, or eligible to work in the
U.S.? |
Yes
No |
| Are you willing to provide proof of your
documents? |
Yes No |
| I am seeking the following
Position: |
[Use Ctrl key to select more than one] |
| I have years experience in the position(s) I am seeking. |
| I have had jobs in the position(s) I am seeking. |
| I am CPR Certified: |
Yes No |
| I am pet friendly: |
Yes No |
| In the past, I have cared
for: |
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select more than one] |
| Desired living arrangement: |
Living In Living Out Either |
| I am looking for: |
A full time position A part time position Either |
| I am available to work: |
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| My first available start date is: |
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| I desire my position to last: |
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| I am willing to perform the following
responsibilities: |
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| My desired salary range is: |
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| I am looking for the following
benefits: |
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| Smoking Status: |
Smoking
Non-Smoking |
| Family smoking status: |
I am willing to work for a smoking family I am NOT willing to work for a smoking family |
| Travel: |
I am willing to travel with the family
I am NOT willing to travel with the family |
| I have the following
education: |
[Use Ctrl key to select more than one] |
| I am: |
Willing to use my own car for working purposes
Not willing to use my own car for working purposes |
| I am seeking employment in the following
location (s) : |
Anywhere in the U.S. & Territories
Continental U.S. |
| I'm willing to commute to the following locations for work : |
(please specify counties/towns) |
| I speak the following
language(s): |
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| What do you find most interesting about
the position you are seeking? |
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| What do you find most challenging? |
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| What do you find most rewarding? |
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| I am willing to provide of professional
references. |
| I am willing to provide of personal references. |
| Additional information about yourself
(i.e., interests, hobbies): |
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| My personal website address is (if any): |
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| Upload photo here (Optional) : |
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| I heard about NannyKingdom.com
from: |
Google Search
Yahoo Search
AOL Search
Craigslist
MSN Search
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Other |
| I used the following search terms |
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| TERMS OF USE: |
I accept the Terms of Use [ READ] I am 18 years
of age or older. |
| NOTE: As a condition of using
NannyKingdom.com and becoming a member of this service, you agree to allow
families interested in hiring you to perform a thorough background
check. |
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