Babysitting Application

Big Sky Nanny, LLC. Date: ______PO Box 18243 Missoula, MT 59808 406-240-0231 [email protected] www.bigskynanny.com Application

General Information: Name: Babysitting Maiden Name: Other Name(s)/Alias:

Street Address:

City: State: Zip:

Home Phone: Cell Phone:

Work Phone: Best way to reach you?

Email Address: Gender:

Date of Birth: Social Security #:

How did you hear about us? ______

Are you eligible to legally work in the United States?  YES  NO

What languages can you speak? ______

Employment Preferences:

Please mark all of the positions you are interested in. This application may be used to apply for our occasional and on-call babysitting positions. If you would like to apply to be a nanny, please complete our more detailed Nanny Application available to download on our website. Positions marked with * require a completed Nanny Application.

 *Full-time Live-In Nanny  Wedding/Special Event Sitter  *After School Nanny  *Full-time Live-Out Nanny  Infant Care  *Household Manager  *Part-time Live-In Nanny  Toddler Care  *Full-Time Summer Nanny  *Part-time Live-Out Nanny  School-Aged Care  *Part-Time Summer Nanny  Occasional Baby Sitter/On Call  Care of Children with Special Needs  Parent's Helper  Hotel/Vacation Sitter  Newborn Specialist  Pet Sitter Big Sky Nanny, LLC

Please check ALL of the duties you are willing to perform while babysitting for a family:  Organizing Activities for the children - Art projects, Play Dates, etc.  Running Family Errands - Grocery Store, Post Office, etc.  Transporting Children to/from school, activities, etc. in Family's Vehicle  Transporting Children to/from school, activities, etc. in Your Vehicle  Cooking Meals for the Children  Homework Help  Accompany Family on outings and vacations  Children's Laundry  Family's Laundry  Ironing  Changing the Children's sheets on their crib/beds  Tidy playroom, family room, kids' rooms, etc. after playing  Tidy Kitchen after use - fill/empty dishwasher, wash dishes, clean up after meal prep, etc.  Dusting, vacuuming, light housework when needed  Pet Care - Feeding, Letting inside/outside, Walking, etc.

What is Your Availability? Please describe your typical weekly availability and when you would most likely be available to accept babysitting requests.

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

 Do you know how to swim?  YES  NO Are you Lifeguard Certified?  YES  NO  Are you currently certified in Infant and Child CPR?  YES  NO First Aid?  YES  NO If Yes, When do they expire? First Aid: ______CPR: ______If No, do you agree to become certified before accepting a babysitting position?  YES  NO

Interests:  Do you play any instruments?  YES  NO If yes, which ones? ______ Do you play any sports or participate in any other physical activities? ______ Do you like pets?  YES  NO Are you allergic to any animals?______

Please list and describe your hobbies and interests: ______

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How would you describe yourself? Check all that apply and add any other qualities you want to include:  Artistic  Vegetarian or Vegan  Sensitive  Organized  Book Worm  Laid Back  Politically Active  Religious  Musical  Health Oriented  T. V. Fan  Enjoys Cooking  Athletic  Outgoing  ______ Quiet  Outdoorsy  ______ Energetic  Movie Fan

What is your marital status?  Single  Married  Divorced  Engaged  Widowed Do you have children?  YES  NO If yes, how many? ______Age(s)? ______

Driving and Criminal Record:  Do you have a valid Driver's License?  YES  NO  Expiration date: ______ License #: ______ State/Province: ______ Number of accidents/moving violations in which you were the driver in the past 3 years? ______Please explain: ______

 Are you able to drive a manual transmission vehicle?  YES  NO  Do you own a vehicle?  YES  NO  Number of seatbelts in your vehicle: ______Year: ______Make: ______Model: ______ Insurance Provider: ______ Are you willing to use your own vehicle for work-related purposes?  YES  NO  Have you ever been convicted of a felony or misdemeanor (other than a minor traffic violation), forfeited collateral, been imprisoned, or placed on probation or parole?  YES  NO If yes, please explain: ______ Have you been convicted of a crime involving child or elder abuse or neglect, including sexual abuse, physical assault, or other acts of violence?  YES  NO  Have you ever been named as a perpetrator in a substantiated report of child or adult abuse or neglect?  YES  NO

In case of an emergency, who should we contact? Name: ______Relationship: ______Address: ______Phone: ______

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Childcare Experience:

Positions you have held (check all that apply):  Live-In Nanny  Live-Out Nanny  Occasional Babysitter  Parent  Teacher -- What grade? ______ Teacher's Aid -- What grade? ______ Camp Counselor

Skills you have employed in your past childcare experience (check all that apply):  Cared for a nursing baby  Cared for a sick child - Explain:  Gave solid foods to baby (under 12 mo.)  Prepared formula for a formula-fed baby  Provided 24 hour childcare  Administered medication to a child  Taught a child how to swim  Helped potty train a toddler

 How many children have you cared for at one time? ______ Do you have experience working with infants?  YES  NO If yes, please describe: ______ Do you have experience with multiples (twins/triplets/etc)?  YES  NO If yes, please describe: ______ Have you ever cared for a child with special needs?  YES  NO If yes, please describe: ______

Please mark ALL of the age groups you have experience working with: X Age: How Long: Explain: Newborn 6-24 months 2-5 years 6-12 years Teenagers

1. Please list at least three activities you would plan for EACH the following age groups: Infant: ______Toddler: ______Preschooler: ______School Aged: ______

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Education: Name: Location: High School Years Attended: Year Graduated: Name: Location: Years Attended: Year Graduated: College Major: Minor: Degree Earned: Name: Location: Years Attended: Year Graduated: College Major: Minor: Degree Earned:

 Are you currently enrolled in higher education courses?  YES  NO  Are you planning to attend college in the next 12 months?  YES  NO  Please describe any child-related courses or specialized training you have taken: ______ Please list any extracurricular activities you participated in in high school and/or college: ______

Please share any other information you think might be important for us to know about you here. (optional)

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Childcare References: Please list the names of families you have babysat for and other childcare experiences, i.e. daycares, church nurseries, day camps, teaching positions, etc. At least three childcare references are required to apply with our agency.

1. Name: ______Type of position: ______Home/Business Phone: ______Cell Phone: ______Email: ______Number of Children: ______Ages: ______Years Worked For: ______Duties Performed: ______Reason for leaving: ______

2. Name: ______Type of position: ______Home/Business Phone: ______Cell Phone: ______Email: ______Number of Children: ______Ages: ______Years Worked For: ______Duties Performed: ______Reason for leaving: ______

3. Name: ______Type of position: ______Home/Business Phone: ______Cell Phone: ______Email: ______Number of Children: ______Ages: ______Years Worked For: ______Duties Performed: ______Reason for leaving: ______

4. Name: ______Type of position: ______Home/Business Phone: ______Cell Phone: ______Email: ______Number of Children: ______Ages: ______Years Worked For: ______Duties Performed: ______Reason for leaving: ______

Personal References: Please list 2 people who are not related to you who have known you for at least 5 years. Name: ______Home Phone: ______Cell Phone: ______Relationship to you: ______How long have they known you? ______

Name: ______Home Phone: ______Cell Phone: ______Relationship to you: ______How long have they known you? ______

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Employment History: Starting with your current or most reason job, please list all full-time, part-time, and volunteer work for the last 5 years.

Employer's Name ______Supervisor ______Position Title ______Dates Employed: From ______To ______Email ______City ______State ______Phone ______Summary of Duties Performed: ______

 During the past 10 years, were you fired from ANY job for ANY reason?  YES  NO If yes, please explain: ______

7 Benefits of Joining our Big Sky Nanny Babysitting Team

● As a Big Sky Nanny babysitter, we want to make sure that you are recognized for the hard work and the extra attention you put into the babysitting jobs you accept. Our members agree to pay our sitters a minimum hourly rate based on the number of children needing care starting at $13.00 per hour for one child and increasing by $2.00 for each additional child.

● When a family requests a sitter through our program, you will be sent an email and text with details about the job including the number and ages of the kids as well as any details about the position you should know. After reviewing the requests, you can easily accept the positions that you are available for and decline any that aren’t a good fit.

● Our members will pay you directly at the end of each shift - either by cash, check, or Venmo. You keep the full amount the family pays - Big Sky Nanny doesn’t take a cut of the money you earned!

● Your safety is important to us! We will screen the families we work with to the best of our ability to ensure your safety. We will also provide an easy to use rating system on our website for our sitters to review the families they work for and report anything we should know for future placements.

● Being a part of our Big Sky Nanny babysitting team will offer you the opportunity to work as much or as little as you want.

● We want to encourage our sitters to go the extra mile and will happily award bonuses and incentives for earning positive ratings from our members, accepting positions regularly, and referring other babysitters and families to our program!

● We are always here to offer assistance and support if you have any questions or concerns about our babysitting program.

How to Apply to be a Big Sky Nanny Babysitter

1. Application - Download and complete our Babysitting Application. We will review your application and contact you to arrange a time to meet for an interview if you meet or exceed the qualifications we are seeking

2. Interview - We love to get to know our babysitters and look forward to meeting you in person to learn more about you!

3. First Aid & CPR certification - All of our nannies and babysitters at Big Sky Nanny must be currently certified in Adult, Child, and Infant CPR and First Aid. Due to the impacts of Covid-19, we are accepting online certificates from courses completed at www.simplecpr.com

4. Background Check & DMV Report - We will run a thorough background check and DMV report on all applicants interested in joining our Big Sky Nanny Babysitting team.

5. Profile - Once you have been approved to be a part of our babysitting team, you will be able to set up your babysitting profile on our website and start accepting babysitting positions as they become available!