Nanny Application Form Template
A free nanny application form for families and nanny agencies. Screen caregivers on experience, CPR and availability, and lead mode marks who to call first.
Customize the pages and design to fit your needs.
About this template
Ask every nanny applicant about experience, ages cared for, CPR, driving, availability and references, with a resume upload. Lead mode marks experienced, certified caregivers as hot and flags anyone who won't agree to a background check.
Common uses
- Families hiring a nanny or babysitter
- Nanny and sitter agencies
- Daycares hiring caregivers
Key features
- Experience, CPR and driving questions
- Hot lead tagging
- Resume upload and references
What this template asks
What's your full name?
Short Text
What's your email address?
Email
What's your phone number?
Phone
Where do you live?
Short Text
How many years of childcare experience do you have?
Single Choice · Less than 1 year, 1 to 3 years, 3 to 5 years, More than 5 years
Which ages have you cared for?
Multiple Choice · Newborns, Toddlers, Preschoolers, School age
Are you certified in CPR and first aid?
Single Choice · Yes, current, Expired, No, but willing to get certified
Which schedule are you looking for?
Single Choice · Full time, Part time, Evenings and weekends, Live in
Do you have a driver's license and your own car?
Single Choice · Yes, with my own car, License but no car, No license
Do you agree to a background check?
Yes / No
When could you start?
Date
What hourly rate are you looking for?
Short Text
Who are two references we can call?
Long Text
Upload your resume
File · Optional
Tell us about yourself and why you love working with children
Long Text · Optional
How to use this template
Copy it
Select Use template and a copy opens in your workspace as an unpublished draft.
Make it yours
Edit any question or answer, choose a theme, and add your logo.
Share it
Publish, then send the link, show a QR code, or embed the form on your site. Responses arrive in Submissions.
Frequently asked questions
What should a nanny application ask?
Experience in years, ages cared for, CPR and first aid, driving, schedule, start date, expected rate, and references. This template asks for each one, with a resume upload.
How does lead mode rank nanny applicants?
Applicants with 3 or more years of experience and current CPR are marked hot. Anyone who won't agree to a background check is marked not a fit.
Can I share it on a job post?
Yes. Paste the form link into your job post or a parents group, or embed it on your agency website.