Family Application Form

First name

Last name

Phone

Preferred Method of Contact

How did you hear about Honey Bee Nanny Co.?

Children Details: Please provide details for each child who will be receiving care, including their name, age, date of birth, allergies, and any behavioral or developmental information that will help us support them safely and effectively.

Care Needs & Schedule: Describe the type of care you need, your schedule, start date, flexibility, and any extra support such as transportation, homework help, or light household tasks.

Household Expectations: Please share any household expectations or routines that caregivers should follow, such as screen time limits, dietary guidelines, nap schedules, or boundaries within the home.

Parenting Style & Preferences: Please share your parenting style, the qualities you value in a nanny, any essential expectations for care, and how you prefer to communicate such as daily updates, weekly check-ins, or specific methods like text or email.

I certify that all information provided in this application is true, accurate, and complete to the best of my knowledge. I understand that providing false or misleading details may disqualify my family from placement services.

Date

Month

Day

Year

Signature

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