Nanny Employment Application

www.eNannySource.com

We are pleased to provide this exclusive eNanny Success Kit. Inside this kit you will find all of the tools that professional nanny agencies use. Buckingham Nannies, one of the nation’s premier nanny agencies, designed these tools to help create a complete hiring process. With this kit - and your instincts - you should be able to hire the perfect nanny for your family.

~ Ken Myers President eNannySource.com

TABLE OF CONTENTS

1) Guidelines for Nanny Employers

2) Nanny Interview Sheet

3) Nanny Employment Application

4) Nanny Reference Check Sheet

5) Nanny Criminal Background Check

6) Family and Nanny Agreement

www.eNannySource.com | 201

GUIDELINES FOR NANNY EMPLOYERS

This guide is to be used by both parents and nannies to confirm a good match, to clarify expectations and to create and solidify an agreeable working arrangement. When issues come up in the nanny and employer relationship, they hardly ever have to do with the children or the quality of care the nanny provides. In general, most issues have to do with misunderstandings and miscommunication between the parents and the nanny. Most of the issues that arise could be avoided if they were discussed prior to the commencement of the working relationship. eNannySource recommends that parents and nannies put into writing the employment terms agreed upon.

General Issues This guide helps parents and nannies clarify and solidify the working agreement. This guide is designed to be used once you’ve interviewed a nanny candidate and are seriously interested in hiring her.

Consider these questions when clarifying your working arrangement: What is the nanny’s weekly rate of pay? Is this gross or net? It is compliant with the Fair Labor Standards Act? What is the nanny’s pay schedule? Will direct deposit be used? Will a payroll company be used? What benefits are you offering? Hammering out the details of the salary package can help ensure both the nanny and the parents have a clear understanding of compensation, benefits, and tax responsibilities. What about taxes? Nannies are employees of the parents for whom they work. They are not independent contractors. Will the family be responsible for withholding and paying the nanny’s portion of taxes, as well as their own? What are the nanny's duties and responsibilities? Professional nannies normally are responsible for all tasks related to caring for the children, including keeping the children’s areas neat, clean and organized and doing the children’s laundry. While some nannies may agree to do more housekeeping related chores, adding housekeeping chores to the nanny’s job is a major cause of nannies leaving their positions.

What does the family expect the nanny to do with the children? Is she allowed to take them on 3

201

age-appropriate outings? Will she help potty train the child? How much TV can be watched daily? What programs? Clarifying your expectations will help the nanny understand what is and what is not acceptable. How detailed of a "debriefing" is expected at the end of the day? Is the nanny required to keep a daily log? Connecting at the end of each day and keeping a daily journal fosters a relationship with open communication.

www.eNannySource.com |

2 What about holidays and vacations? Typically, nannies receive one to two weeks of paid vacation and 8 to 10 paid holidays off per year. Will the nanny and employer take vacations at the same time?

www.eNannySource.com | 201

3 GUIDELINES FOR NANNY EMPLOYERS PA GE 2

What happens when the family travels without the nanny? Nannies are typically paid 52 weeks per year. When the family travels without the nanny, by their choice, she is entitled to pay. Unplanned and unpaid time off is a reason many nannies leave their positions. With mutual agreement, the nanny may be able to take her vacation time at the same time as the family. What happens when the family travels with the nanny? Families tend to think of travel as a perk for the nanny, but nannies often think of travel as particularly difficult and stressful. Specific travel arrangement, duties and compensation should be worked out well in advance of any trip. If the nanny is expected to work above and beyond her normal schedule, she should be compensated. All of her expenses should also be paid. What about car use? If the nanny is using her personal vehicle for work related purposes she should be reimbursed the mileage rate set forth by the IRS. The nanny should also ensure that her insurance policy covers work related use and the transportation of children. If the nanny will be using the family’s vehicle, the parents should ensure the nanny is listed as a covered driver. You’ll also want to clarify if the nanny can use the vehicle during her off hours. Do nannies expect raises? In general, nannies are given on average a 5% annual raise. In addition, a high percentage of families provide an end of the year or holiday bonus, equal to one week or more of the nanny’s salary, depending on how long the nanny has been with the family. What is the nanny’s weekly schedule? On average, nannies work 40 to 60 hours per week. When does overtime kick in? All nannies must be paid for each hour worked. Live-out nannies must be paid overtime for any hours worked over 40 in a 7-day period. Live-in nannies in some states are also entitled to overtime. How flexible is the nanny's schedule? Do you often have to stay late at work with little notice? Is she available for babysitting or overnight care? How much will she be compensated for this work? Solidifying your expectations when it comes to flexibility can prevent issues down the road. Are live-in nannies always on call? Just like live-out nannies, live-in nannies have a typical work schedule. Live-in nannies work, on average, 10-12 hours per day, 5 days per week. The nanny’s hours are consecutive and any "downtime" during the day count towards the nanny’s consecutive hours. What if I need my nanny to work late? If you require your nanny to work late, ask her in advance, when

possible and pay her as agreed upon. Most nannies are willing to be flexible with proper notice.

What accommodations do I need to provide my live-in nanny? Live-in nannies are typically provided a 3

201 private bedroom and bath at minimum. What about food? While food must be provided for live-in nannies, parents and live-out nannies must decide how they will handle the nanny’s meals. Is she allowed to eat with the children? Should she pack her lunch? Will the parents be providing the nanny with a cell phone? What are the terms and conditions? Clarify expectations so that you nanny knows when, how often, and how much she is allowed to use the phone.

www.eNannySource.com |

NANNY INTERVIEW SHEET

Nanny’s first name: Nanny’s last name: Date: Cell phone: Home phone: Email:______Website:

Tell me/us about yourself. ______

Why have you chosen to be a nanny? ______

What are your strengths and how do you see them relating to childcare? ______

______

3 What are your personal goals for the next five years? ______

www.eNannySource.com | 201

NANNY INTERVIEW SHEET PA GE 2

What are you doing now? ______

What are your biggest challenges? ______

What makes you like your job? ______

Tell me/us about your previous job (child-related): ______

What is important to you in a job? ______

Tell me about a time when you disagreed with something your employers asked you to do.

______3

201 ______

www.eNannySource.com |

6 NANNY INTERVIEW SHEET PA GE 3

How would you feel if a parent asked you to do additional work? ______

What was the most difficult task you had to learn on the job? ______

What skills do you think you acquired from your past experience that you can use in your next position? ______

What is your philosophy on child rearing? ______

Would you consent to a thorough background check? Yes No

Is there anything else that you think we should know? ______

______

3 Notes: ______

______

www.eNannySource.com | 201

7 NANNY EMPLOYMENT APPLICATION

Name: Date: Referred by: Address: City: State: Zip:

How long at this address: (if less than 2 years please enter Previous Address below) Previous Address: Home Phone: Cell phone: Email: Driver license number: State issued: Social Security Number: Do you own a car? Yes No Make and model:

Job Preferences

What is your desired weekly salary? $ Gross (before taxes) Net (after taxes)

What is your desired hourly salary? $ Gross (before taxes) Net (after taxes) Live-in Live-out Full-time Permanent Mon-Fri Part-time Temporary Tue-Sat Weekends Other (please specify) Do you require a vehicle to be provided? Yes No Are you willing to use your own vechile for work related purposes? Yes No

Are you flexible on days and hours?

3 Very flexible Somewhat flexible Not flexible

201

How long do you want to work in this position? 6 months 1 year 2 years 3 or more years

Type of Job Applying For: Nanny Nanny/Houskeeper Nanny/Household Manager

Are you willing to travel with the family? Yes No www.eNannySource.com |

NANNY EMPLOYMENT APPLICATION PA GE 2

Do you smoke? Yes No Do you drink alcohol? Yes No Occasionally Can you swim? Yes No Are you a certified lifeguard? Yes No Is working in a house with pets okay? Yes No Are you allergic to dogs? Yes No Cats? Yes No Are you willing to (check all that apply): Care for the family pet Run errands Participate in carpool Do you have current CPR certification? Yes No Do you have current first-aid certification? Yes No What ages of children do you prefer to work with? Why? Maximum number of children you are willing to care for: Do you have experience working for families with multiples? Yes No Would you care for twins? Yes No Triplets? Yes No Will you work with children that have special needs? Yes No Please check the family situations you would like to work in:

Parents working outside of the home At-home parent Single parent

3 How did you spend your day in your previous nanny position?

Are you comfortable transporting children in a vehicle? Yes No

www.eNannySource.com | 201

NANNY EMPLOYMENT APPLICATION PA GE 3

Are you most comfortable in a position where you direct the children’s daily schedule or a position where the parents leave a specific schedule for you to implement?

What is your primary language? Other languages spoken: 1. 2. 3.

Previous Employment Experience How many years of childcare experience do you have?

List previous employers with most recent first: Employer #1: Family’s last name: Mother’s Name: Father’s Name: Mother’s Occupation: Father’s Occupation: Mother’s Phone: Father’s Phone: Home Phone: Address: City: State: Zip: How did you find this job? Date job started: ended: Salary: $ Gross Net Per hour Per week

Live-in Live-out Full-time Part-time 3

201

Days and hours of job: Children: 1. Male Female Beginning age: Final age: 2. Male Female Beginning age: Final age: 3. Male Female Beginning age: Final age:

www.eNannySource.com |

10 4. Male Female Beginning age: Final age:

NANNY EMPLOYMENT APPLICATION PA GE 4

Responsibilities: Childcare Housekeeping Driving Cooking Homework Other:

Likes and dislikes:

Reason for leaving:

Employer #2: Family’s Last Name: Mother’s Name: Father’s Name: Mother’s Occupation: Father’s Occupation: Mother’s Phone: Father’s Phone: Home Phone: Address: City: State: Zip: How did you find this job? Date job started: ended:

Salary: $ Gross Net Per hour Per week

3 Live-in Live-out Full-time Part-time Days and hours of job: Children: 1. Male Female Beginning age: Final age: 2. Male Female Beginning age: Final age: 3. Male Female Beginning age: Final age:

www.eNannySource.com | 201

11 4. Male Female Beginning age: Final age: NANNY EMPLOYMENT APPLICATION PA GE 5

Responsibilities: Childcare Housekeeping Driving Cooking Homework Other:

Likes and dislikes:

Reason for leaving:

Employer #3: Family’s Last Name: Mother’s Name: Father’s Name: Mother’s Occupation: Father’s Occupation: Mother’s Phone: Father’s Phone: Home Phone: Address: City: State: Zip: How did you find this job? Date job started: ended:

Salary: $ Gross Net Per hour Per week

Live-in Live-out Full-time Part-time 3

201

Days and hours of job: Children: 1. Male Female Beginning age: Final age: 2. Male Female Beginning age: Final age: 3. Male Female Beginning age: Final age:

www.eNannySource.com |

12 4. Male Female Beginning age: Final age: NANNY EMPLOYMENT APPLICATION PA GE 6

Responsibilities: Childcare Housekeeping Driving Cooking Homework Other:

Likes and dislikes:

Reason for leaving:

Have you held any jobs not listed above? Yes No If yes please elaborate:

Education High school attended: Did you graduate? Yes No What year? College attended: Degree: Year graduated: Child related courses taken in college:

3 1. 4. 2. 5. 3. 6.

List extracurricular activities in college:

www.eNannySource.com | 201

13 NANNY EMPLOYMENT APPLICATION PA GE 7

Hobbies and Interests Professional Affiliations: Do you have any other skills (dance, music, crafts, sports, etc.) that relate to children's activities?

Describe your future goals:

What do like most about being a nanny?

What do like least about being a nanny?

Is there anything else you would like us to know?

201

www.eNannySource.com |

14 NANNY EMPLOYMENT APPLICATION PA GE 8

Medical/Mental Health Information In order to assure safe child care we must know about medical and psychiatric conditions that could affect your ability to perform the job. Are you presently suffering from any communicable disease(s) that could be transmitted to a child you are caring for? Yes No If yes, please describe:

Are you presently taking any medication(s), prescribed or not, that affect your judgment, coordination, levels of alertness and ability to respond in an emergency? Yes No Do you have any physical condition that might impair or prevent your ability to perform any reasonably physical act normally required in the care of children? Yes No Do you have any mental condition that might impair or prevent your ability to protect a child from harm or that could impair your judgment? Yes No

Emergency Contact Information Who do we call in an emergency? Name: Phone #: Relation: Name: Phone #: Relation: Name: Phone #: Relation:

3 I hereby certify that the information contained herein is true and correct to the best of my knowledge. Signature: Date:

www.eNannySource.com | 201

REFERENCE CHECK FORM

How to use this form: This form is designed to help you gather important information from the references that your nanny candidate provided. Using this form, you’ll be able to gather information that will help you to make an educated and informed hiring decision. When checking references, be sure that the information the reference gives you aligns with the information the nanny included on her job application. If things like the children’s ages, dates of employment and reason for leaving don’t match up, the reference could be false.

Candidate’s Name: Phone:

Reference’s Name:

Home Phone: Cell: Work: How did you meet? Online Service Agency Friend referred Placed ad Other: Dates Worked: From: To: Type of Position: Live-in Live-out Full-time Part-time

Days and hours:

Salary: $ Gross Net Per hour Per week

Children’s ages at end of job: Child 1: Male Female Age

Child 2: Male Female Age 3

201 Child 3: Male Female Age Child 4: Male Female Age Duties: Childcare Drive kids Homework Housekeeping Laundry Cooking

Read to child(ren) Manage play dates Pet care Take on outings (library, zoo, etc.)

Other: www.eNannySource.com | 16

REFERENCE CHECK FORM PA GE 2

Reason for leaving: Did this employee leave: Yes No Did you let the employee go: Yes No

Comments:

Employee Attributes – Please Rate: Reliable: Extremely Above average Average Unacceptable Helpful: Extremely Above average Average Unacceptable On Time: Extremely Above average Average Unacceptable Judgment: Excellent Good Average Poor Follows Direction: Very well Well Average Poor Housekeeping: Excellent Good Average Poor

Were there any obstacles that prevented employee from performing the duties of the job? Yes No If yes, please explain:

Select the qualities that best describe this person: Honest Warm and loving Organized Energetic Enjoys work Playful Responsible Careful Quiet Talkative

3 Comments:

Would you trust this person in an emergency? Yes No

Comments:

www.eNannySource.com | 201

17 English skills: Fluent Semi-fluent Poor REFERENCE CHECK FORM PA GE 3

How did this employee work with your children? Extremely engaged Somewhat engaged Average Just a job

How well did this employee handle discipline? Too strict Firm but fair Not firm enough

What was the employee’s greatest strength?

Any shortcomings?

Do you recommend this person? Highly With reservations No Would you rehire? Yes No Reference Evaluation

Tone of reference: Glowing Good Average Poor

Was the person: Communicative Hesitant Enthusiastic Rushed Rude How would you rate the evaluation overall?

Excellent Average Poor

Notes:

201

www.eNannySource.com |

CRIMINAL BACKGROUND CHECKS

The criminal background check will reveal if there are any criminal convictions in a particular county. It also checks to see where the candidate has lived and if the social security number given matches information from the credit reporting agencies. Additional county background checks can be purchased separately and are also included in certain membership options.

For more information, please go to: https://www.enannysource.com/Nanny-Background-Check.aspx

www.eNannySource.com | 201

19 FAMILY AND NANNY AGREEMENT

This agreement is subject to change upon mutual consent and signature of both parties.

Starting date of contract: ______Ending date of contract:

I. Personal Information

1. Family’s Information Parent(s) Last Name: ______Home Phone:

Parent(s) First Name: ______Cell:

Address:

City: State: Zip:

Information about children:

Male Female DOB: ______age: grade:

2. Nanny’s Information Nanny’s Name: ______

Home Phone: Cell:

Address:

City: State: Zip:

201 II. Nanny’s Work Schedule Monday to Nanny and family Tuesday to agree to make every Wednesday to effort to adhere to Thursday to the above schedule. Both parties agree Friday to to understand and Saturday to

adapt to www.eNannySource.com | emergencies if they should occur.

20 Sunday to FAMILY AND NANNY AGREEMENT PA GE 2

III. Job Requirements

Plan and provide age-appropriate activities (e.g. strolls, reading, games, playground, etc.)

Read age-appropriate books to the children every day.

Launder the children’s clothing and linens.

Prepare nutritious meals and snacks for the children (mindful of special dietary needs or allergies.)

Clean up cooking and eating area after meals. Typically, nannies are Tend to the children’s hygiene. responsible for keeping Bathe the children. the children’s areas (bedroom, playroom, Clean the children’s nursery, bathroom, and playroom daily. and bathroom) clean, neat and tidy and for Run child-related errands (i.e. market, clothing store, birthday gifts, etc.) taking care of children’s Transport the children when and where needed. laundry. If your nanny is taking on additional Plan and carry out play dates. housekeeping tasks, the chidren should be her Who is responsible for housekeeping duties? Housekeeper Nanny first priority and additional time and If housekeeper, what is the schedule? compensation should The nanny is responsible for: be given to do those tasks. Laundry: Family’s Household (towels, bed lines, etc.) Children’s How Often?

3 Floors: Sweep daily weekly specify: Mop daily weekly specify: Vacuum daily weekly specify: Kitchen: Tidy after meals Empty dishwasher Clean appliances

Cooking: Prepare children’s meals and snacks Prepare evening meal for the

www.eNannySource.com | 201 family

21 Who will plan meals? Nanny Family

Notes regarding Meal Planning:

FAMILY AND NANNY AGREEMENT PA GE 3

Errands (upon request): Grocery Store Dry Cleaning Pharmacy Children’s clothes shopping

Projects (upon request): Birthday party planning and helping Organizing closets cabinets

Bathrooms: Tub/Shower Vanity/Sink Toilet

Whose? Own All How often?

Maintenance: Take trash out Schedule/oversee household repairs and maintenance (upon request) Who is responsible for pet care? Nanny Family

If nanny, please describe pet duties:

IV. Family’s Expectations of the nanny (nanny please initial)

To promote physical, emotional, intellectual and social development of the children.

Comply as closely as possible with family’s preferences regarding child rearing and discipline.

Tend to children’s personal hygiene, health, welfare and physical safety.

Be reasonably flexible regarding emergencies and unexpected changes in the family’s

schedule.

201 Maintain a daily log and or daily communication with family concerning the children.

Be responsible, reliable and punctual at the start of the day and for appointments and activities.

Have efficient time management of child care tasks and all other related duties.

Promote feelings of security and warmth by enjoying daily cuddle, read, and talk time.

www.eNannySource.com |

22 Read/review any pertinent literature provided by employer in order to promote broader knowledge of child rearing philosophy, education, and child psychology.

Actively participate in understanding each child’s special problems and interests. Providing solutions to the former and enhancing the latter.

Be supportive of the parent-child relationship.

www.eNannySource.com | 201

FAMILY AND NANNY AGREEMENT PA GE 4 a. The Family Will Provide for the Nanny

Access to the children’s pediatrician or family physician and teachers.

Adequate funds to cover developmentally appropriate games, books, learning, aids and/or outside activities.

Meeting times per month to discuss the events of the preceding period.

Meeting times per year to discuss job performance.

Other

V. Nanny’s Expectations of Family:

Respect the hours, days, and compensation outlined in this agreement.

Have regular communication from parents regarding job performance, schedule changes, etc.

Support of nanny’s authority in setting limits with children.

Provide a safe childproofed home.

Respect the nanny’s privacy outside of the job.

Respect the fact that the nanny has a life beyond the job.

Other

201

www.eNannySource.com |

24 FAMILY AND NANNY AGREEMENT PA GE 5

VI. Household Information: a. The nanny may have visitors in the family home. Yes No If yes, 24 hour advance notice must be provided and number of guests should be limited to no more than at a time. b. We would like the nanny to answer the telephone in the following manner:

c. We would prefer that the nanny address us by our:

Family name (i.e. Mrs./Mr.) First names

d. The following areas are off limits to the nanny and children:

e. Our home is childproofed. Yes No Mostly

f. We expect the nanny to help childproof our home and family will respect her decisions.

Yes No

Comments:

______

g. The nanny will receive a set of keys to our house? Yes No

h. What is the procedure to follow if the nanny is locked out of the house?

i. The nanny will be expected to set our house alarm? Yes No

j. Our smoke detectors are located:

k. Our fire extinguisher is located:

www.eNannySource.com | 201

25 FAMILY AND NANNY AGREEMENT PA GE 6 l. Rules regarding extracurricular activities such as:

Television: Music: Computer: Electronic games:

Misc.:

VII. Health and Emergencies:

a) Where are the emergency phone numbers kept?

b) What is the emergency escape plan? (Attach separate sheet.)

c) Preferred hospital (name and location):

d) Where are emergency contacts?

e) Where are the first aid supplies kept?

f) Should the nanny take the children’s temperature when necessary?

Yes No Thermometer is located:

g) Does child(ren) take daily medication? Yes No

h) Written authorization to give medication will be supplied. Yes No Note: Written authorization for the nanny to take the child for medical treatment should be on file with pediatrician and preferred hospital. i) Name and phone number of pediatrician:

j) Where is the health insurance identification kept?

201

VIII. Live-in Nanny Position (if applicable) a) Nanny’s quarters are private. Family should not enter unless invited or in case of emergency Agreed? Yes No b) Artwork is allowed on the walls of the nanny’s quarters. Agreed? Yes No

c) The nanny may rearrange the furnishings in the quarters. Agreed? Yes No www.eNannySource.com |

26 FAMILY AND NANNY AGREEMENT PA GE 7

d) All food consumed by the nanny will be furnished by the family? Yes No

Specially requested items up to $ per month will be provided by the family. Yes No

e) The nanny is to provide any specialty foods or snacks herself. Agreed? Yes No

f) The nanny will eat her evening meal with: the family the child(ren) by her/himself varies

g) The nanny will eat her evening meal: before the parents eat after the parents eat

h) Specific food items that the nanny may not consume or bring into the home:

i) Television and music rules in the nanny’s quarters are:

j) The nanny will have a private telephone line in her room. Yes No

k) The telephone and the telephone connection will be paid for by: Family Nanny

l) The nanny will pay for all her personal long distance phone charges: Yes No

m) The nanny will pay the telephone company directly? Yes No

n) Toll call charges will be deducted from the nanny’s paycheck. Yes No

VIII. Nanny’s Compensation: Gross salary: $ Per hour Per week Per month

Salary will be paid: Weekly Bi-monthly Monthly

3 The nanny’s obligation for Social Security/Medicare (7.65 % gross pay) will be withheld from gross salary.

Federal and state (if applicable) income taxes will will not be withheld by the family.

1. Additional childcare will be compensated as follows:

Per Hour: $ Overnight: $ Weekend: $

www.eNannySource.com | 201

27 2. Additional children to be cared for: $ per child per hour day

3. Out of town travel with the family: $ per day.

201

www.eNannySource.com |

FAMILY AND NANNY AGREEMENT PA GE 8

IX. Benefits: 1. Insurance: Please check where appropriate:

Health insurance provided by the family. Type:

Automobile insurance coverage provided by family: Percentage paid %

Nanny’s car Family’s car

In case of an accident, the deductible will be paid by: Nanny Family Both

% Nanny % Family

Amount of the deductible $

Homeowner’s and Worker’s Compensation (if applicable) insurance is in effect. (Family will review the policy to see that it covers bodily injury and property damage if it occurs in the home). Comments:

2. Vehicle (check where appropriate):

Nanny provides own vehicle with mileage compensated for work related use at the rate of: cents per mile.

Nanny provides own vehicle and is paid $ monthly by the family toward insurance and upkeep.

3 Family provides for work-related use only.

Family provides for occasional personal use.

Family provides for personal use with employer’s permission.

Family provides for full personal use with a mile limit per month.

Comments:

www.eNannySource.com | 201

FAMILY AND NANNY AGREEMENT PA GE 9

3. Meals:

Family will provide all necessary food to prepare nutritious meals, snacks and beverages for nanny and child/ren during normal working hours.

Food items requested by nanny:

4. Paid time off:

a) Vacation: Family agrees to provide the nanny week(s) of paid vacation. Paid vacation may be taken after months of employment. Other/Comments:

b) When the family travels or has personal days and does not need the nanny to work, nanny will will not be paid full salary.

c) Sick days: Paid Not paid How many? Per month Per year Conditions:

d) Personal days: Paid Not paid How many: ______Conditions: ______

e) Holidays (Please check where appropriate):

New Years Eve Off Paid Unpaid

New Years Day Off Paid Unpaid 3

201

Memorial Day Off Paid Unpaid 4th of July Off Paid Unpaid Labor Day Off Paid Unpaid Thanksgiving Day Off Paid Unpaid Day after Thanksgiving Off Paid Unpaid

Christmas Eve Off Paid Unpaid www.eNannySource.com |

30 Christmas Day Off Paid Unpaid Other: ______Off Paid Unpaid

FAMILY AND NANNY AGREEMENT PA GE 10

5. Additional expenses family is willing to pay for: (such as INA membership, which is tax deductible, conference attendance, health club membership, train pass, nanny support group membership, education, etc.)

Please specify:

X. Typical Daily Schedule: 7:00am 8:00am 9:00am 10:00am 11:00am 12:00pm 1:00pm 2:00pm 3:00pm 4:00pm 5:00pm 6:00pm

7:00pm

3 8:00pm

XI. Termination/Renewal (nanny initial) Either party may terminate the agreement upon days notice.

Renewal of the agreement will specify any changes in the salary or changes in the job description or schedule.

www.eNannySource.com | 201

31 If the family must terminate the nanny’s employment unexpectedly, the nanny will be paid severance pay. Yes No

If severance will be paid, how much? $

201

www.eNannySource.com |

32 FAMILY AND NANNY AGREEMENT PA GE 11

There are additional pages attached that are part if this agreement.

We have read, discussed and agreed to the aforementioned terms and conditions.

Nanny’s signature Date

Mother/Guardian signature Date

Father/Guardian signature Date

Nanny and family should each receive a copy of this agreement.