Tender Loving Nannies Caregiver Application | Become an Elderly Companion, Nanny, or Newborn Caregiver in New York, NY

Please ensure you have adequate time and the proper information needed to complete this application. Besides personal information, you will be required to provide your past work experience and three personal references.

Education
Highest level of education completed:
Name of High School:
State:
Date of graduation:
Name of College (if applicable)
State:
Major:
Did you graduate?
- Yes
- No
Number of credits earned:
Date of Graduation:

Personal References
Please provide three references that are not relatives. Please make sure, you advise your references that they will be contacted by TLN.
Reference #1 Name*
FirstLast
Reference #1 Phone*
Reference #1 Relationship*
Reference #2 Name*
FirstLast
Reference #2 Phone*
Reference #2 Relationship*
Reference #3 Name*
FirstLast
Reference #3 Phone*
Reference #3 Relationship*

I, confirm the information provided is accurate to the best of my knowledge. I understand any misrepresentation of facts on this application can be considered cause for discontinuation of Tender Loving Nannies, Inc referral service. Tender Loving Nannies, Inc is given the right to contact all references and solicit information about me and my previous job performance. I understand information, as well as any supporting documentation; will be disclosed for review by potential employers. I also agree to, as a requirement for inclusion in the Tender Loving Nannies, Inc referral service, to submit to a state and federal criminal and child abuse clearance. I agree to allow US Information Search to process background clearances at the request of Tender Loving Nannies, Inc. I hereby warrant that the above facts stated are true and complete and are made for the purpose of assisting me secure employment.*
- I have read the above and I understand that any misrepresentation of facts will disqualify me from Tender Loving Nannies Inc.
Date of Application*
Electronic Signature (please type you full name to complete the application)*

Caregiver Application

Step 1 of 7 - Personal Information

Personal Information

Education

Detailed Schedule

Work Experience

Personal References

Additional Nanny Information