# 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.

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.

Canonical: https://reuily.com/templates/nanny-application-form
Use this template: https://reuily.com/form/from-template/nanny-application-form
Collections: Applications & HR, Childcare, Human Resources
Last updated: 2026-10-24

## Questions

- Question 1: What's your full name? (Short Text, required)
- Question 2: What's your email address? (Email, required)
- Question 3: What's your phone number? (Phone, required)
- Question 4: Where do you live? (Short Text, required)
- Question 5: How many years of childcare experience do you have? (Single Choice, required). Options: Less than 1 year; 1 to 3 years; 3 to 5 years; More than 5 years
- Question 6: Which ages have you cared for? (Multiple Choice, required). Options: Newborns; Toddlers; Preschoolers; School age
- Question 7: Are you certified in CPR and first aid? (Single Choice, required). Options: Yes, current; Expired; No, but willing to get certified
- Question 8: Which schedule are you looking for? (Single Choice, required). Options: Full time; Part time; Evenings and weekends; Live in
- Question 9: Do you have a driver's license and your own car? (Single Choice, required). Options: Yes, with my own car; License but no car; No license
- Question 10: Do you agree to a background check? (Yes / No, required)
- Question 11: When could you start? (Date, required)
- Question 12: What hourly rate are you looking for? (Short Text, required)
- Question 13: Who are two references we can call? (Long Text, required)
- Question 14: Upload your resume (File, optional)
- Question 15: Tell us about yourself and why you love working with children (Long Text, optional)

## 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

## 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.