Babysitters and Nannies in Morehead City and Raleigh NC

Thank you for registering with Nancy's Nannies, Inc. We place full and part-time Nannies in eastern North Carolina. If you have a family profile completed, please send along with this application. See the Family Agreement on the last page for more information. Feel free to contact us to discuss your family's needs in person. We look forward to working with you.

E-Mail Address

Your First Name

Your Last Name

Spouse/Partner's First Name

Spouse/Partner's Last Name

Address

City

State

Zip

Home Phone

cell phone

Business Phone

Ext

Position Type (Check all that apply)

Live Out

Full Time

Part Time

Babysitting

Days and Hours

What is the approximate starting date of the job?

What is the proposed compensation for the job?

Will you be looking for any shopping and errands to be done?

If so, what type and how often?

Number of Children

List the age and gender of each child:

FAMILY AGREEMENT

NANCY'S NANNIES WILL MAKE REASONABLE EFFORTS ACCORDING TO APPLICABLE LAW TO PROVIDE YOU WITH CANDIDATES BASED ON THE QUALIFICATIONS YOU HAVE PROVIDED. IN MOST CASES A REPRESENTATIVE FROM NANCY'S NANNIES WILL MEET WITH THE FAMILY IN THEIR HOME PRIOR TO THE START OF THE NANNY SEARCH. HOWEVER, NANCY'S NANNIES MAKES NO GUARANTEES, REPRESENTATIONS OR WARRANTITIES ABOUT THE QUALIFICATIONS, ABILITY, CREDENTIALS, SUITABILITY OR PERFORMANCE OF THE CANDIDATES REFERRED, SIGNING UP WITH OR PAYING NANCY'S NANNIES DOES NOT GUARANTEE THAT IT WILL FIND A SUITABLE CANDIDATE OR REPLACEMENT FOR YOU.

NANCY'S NANNIES WILL PROVIDE REFERENCES AND BACKGROUND INFORMATION TO YOU AFTER YOU MADE A CONDITIONAL OFFER OF EMPLOYMENT TO A NANNY AND EXECUTED NANCY'S NANNIES' PLACEMENT AGREEMENT.

I AGREE TO RETAIN NANCY'S NANNIES TO MAKE REASONABLE EFFORTS TO FIND A NANNY FOR MY FAMILY. I UNDERSTAND THE PLACEMENT FEE IS $2600.00. I AGREE TO PAY HALF THE FEE, $1300.00, (NON-REFUNDABLE) TO BEGIN THE NANNY SEARCH AND THE BALANCE ($1300.00) WHEN THE NANNY IS HIRED OR OTHERWISE ENGAGED REGARDLESS OF THE START DATE, SUBJECT TO THE TERMS AND CONDITIONS OF THE AGENCY/FAMILY CONTRACT.

NANCY'S NANNIES OFFERS A 30-DAY REPLACEMENT POLICY SUBJECT TO THE TERMS AND CONDITIONS OF THE AGENCY/FAMILY CONTRACT. WE WILL ASSIST WITH ANY PROBLEMS IF ASKED TO DO SO. IT IS THE FAMILY'S RESPONSIBILITY TO KEEP US INFORMED DURING THIS TIME. IF THE FAMILY AND THE NANNY AGREE TO TERMINATE THE NANNY EMPLOYMENT DURING THE FIRST 30 DAYS, WE WILL CONTINUE TO MAKE REASONABLE EFFORTS TO SEARCH FOR NANNIES FOR YOU AT NO ADDITIONAL CHARGE SUBJECT TO THE TERMS AND CONDITIONS OF THE AGENCY/FAMILY CONTRACT, AND PROVIDED THE FAMILY HAS NOTIFIED US DURING THE 30-DAY TRIAL OF POTENTIAL PROBLEMS.

I CERTIFY THAT ALL INFROMATION I PROVIDE IN THIS APLICATION IS TRUE, ACCURATE, COMPLETE AND CORRECT. I AUTHORIZE INVESTIGATION OF ALL INFORMATION PROVIDED IN THIS APPLICATION UNLESS I HAVE INDICATED OTHERWISE. I AUTHORIZE TEH DISCLOSURE OF ANY INFORMATION ABOUT ME, INCLUDING BUT NOT LIMITED TO INFORMATION I HAVE PROVIDED TO NANNY CANDIDATES AND POTENTIAL NANNY CANDIDATES. I UNDERSTAND AND AGREE THAT ANY MISREPRESENTATIONS, FALSIFICATIONS OR MATERIAL OMISSION OF INFORMATION ON THIS APPLICATION MAY BE GROUNDS FOR NANCY'S NANNIES TO REFUSE TO REFER OR PLACE CANDIDATES WITH ME.

I UNDERSTAND THAT NANCY'S NANNIES DOES NOT UNLAWFULLY DISCRIMINATE IN REFERRALS OR PLACEMENTS, AND NO QUESTION ON THIS APPLICATION IS USED FOR THE PURPOSE OF LIMITING OR EXCUSING ANY APPLICANT FOR CONSIDERATION OF REFERRAL, PLACEMENT OR EMPLOYMENT ON ANY BASIS PROHIBITED BY APPLICABLE LAWS OR REGULATIONS.

TYPE YOUR FULL NAME:
DATE:	Tuesday May 21, 2013

THANK YOU FOR REGISTERING WITH NANCY'S NANNIES, INC.