For Families

We match the perfect applicant with your specific requirements at each stage of your family’s life. Your current lifestyle is always taken into consideration as we seek to pair you with one or more of our professional nannies. If you are interesting in our services please fill out the form below. A non-refundable fee of $250.00 is required to start the service of finding a nanny.

If you feel you need to talk us prior to submitting the application please use the contact form or call us at 919-790-8412.

What type of care are you looking for? Full- Time, Live-In; Full- Time, Live-Out; Part-Time; Latch-Key, After School; Summer, etc.

Parent Information

Full Name(s) for mother and/or father
Home address
E-mail
Father's employer, work address, work phone
Mother's employer, work address, work phone
Mother's age
Father's age
Do both parents reside at home? If, no, please state why.

Child Information

How many children?
First child’s name
Gender
Age
Grade level
Special needs?
Second child’s name
Gender
Age
Grade level
Special needs?
Please provide information for all additional children
If any child has special needs, please provide details here:

Other Family Information

Number and types of pets
Any language other than English spoken at home? If yes, what language? Must your nanny speak that language?
Do you employ domestic help, such as a maid or cleaning service?
When would you like the nanny to start work?
What days will the nanny work?
What days will the nanny have off?
Will you need transportation for your child/ren?
Will you be providing the nanny with a car?
If yes, will the nanny be covered under your car insurance?
If no, would you reimburse the nanny cents/mile for gas used in the nanny's car for family business?
Will you need the nanny to travel with you? If yes, where and how often?

General information about the nanny

Do you prefer a nanny of particular age? 18-25, 25-30, 30-40, 40-50, or Older
Must the nanny possess a valid driver's license?
What type of personality would you like the nanny to have?
What would be the nanny's job description?
What household tasks would you like the nanny to take care of? Bathing, Cleaning, Babysit in the evenings, Babysit weekends, Laundry, Pickup, Cooking, Vacuuming, etc.
What abilities and skills do you desire the nanny to have?
Please state the salary range you are willing to pay:
Where did you hear about Loving Care Nanny Services?

I/WE fully understand and accept that misrepresentation of hours, duties, or any other aspect of the employment situation herein, or nonpayment of any fees, will, at the sole discretion of LOVING CARE NANNY SERVICES, make the LCNS FAMILY AGREEMENT null and void and will require that LCNS take immediate action. I/WE acknowledge receipt of the FAMILY AGREEMENT and agree to its terms and conditions. I/WE also understand that the registration fee is non-refundable.

Signature of parent
Date
Signature of parent
Date