Boca Nannies & Caretakers - South Florida * Childcare Services * Nannies * Babysitters * Elderly Care * Housekeeper * Companions * Personal Care Attendants * Au Pairs
 

Caregiver Job Application

Thank you for your interest in placement through Boca Nannies & Caretakers LLC. We are a referral service for Nannies, Household Help, and Caretakers. We look forward to working with you!

In addition to completing the application below, you must meet the following requirements to work with Boca Nannies & Caretakers, LLC:

  • Legally eligible to work in the USA
  • Speak English fluently
  • Provide a resume
  • Have at least 5 years of experience as a caretaker
  • Provide a copy of your driver's license
  • Provide an updated background check

Please send additianal documentation to info@bocanannies.com.

We encourage you to complete the application and forward any additional information as soon as possible. We will immediately start submitting your information with potential employers.

 

1. Contact Details
 
Earliest Date Available:
 
Full Name:
Home Address:
City:
State, Zip: ,
Phone Number:
Best Time to Reach You:
E-mail:
 
2. Information About You
 
Date of Birth:
Driver's License Number:
Marital Status:
Married Single Divorced Widowed
Other:
Maiden Name:
Can you make a one-year commitment?: Yes No
Do your own a car?: Yes No
Using your car for transportation?: Yes No
Any criminal record?: Yes No
Have you ever been arrested?: Yes No
Place of birth? (City, St.):
Are you CPR or First Aid Certified?: Yes No
Can you cook?: Yes No
Are you allergic to animals?: Yes No
Are you comfortable working in home with pets/animals?: Yes No
Do you swim? Yes No
 
Describe your personality and strengths:
 
Provide 2 Recent Referrals
Name Telephone # Relationship Dates
 
3. Job Details
 
Education and Training
Colleges, Technical Schools, or any other courses you would like to share). For example: Chef, Hospitality School or mention any other special training that you have attended or graduated from Types: HS=High School V/T=Vocational/Technical School CO =College O=Other Institution ST=Special Training
 
Type Name of Institution Dates Attended Degrees Attained
 
Type of Position/Work You Are Looking For (Check all that you would consider)
Nanny / Baby Nurse Household Manager Housekeeper / Child Care

Nanny Only Duties (Check all that you would consider)
Nanny - Children Only Nanny - Childcare / Light Housekeeping Nanny - Children's Laundry General pickup Clean up kitchen Empty dishwasher Keep bedrooms clean Make beds Make meals Occasional errands Driving children Pick up toys Pick up toy room

HOUSEKEEPING (Please check only job responsibilities that you will do)
Clean Kitchen Clean Bathrooms Make Beds
Wash Clothes Wash Dishes & Pans Hand Wash Clothes
Dust Vacuum
Please check what you are willing to do from the list below:
Work on holidays if needed Work for a parent who works from home
Run errands & grocery shop Work evenings and weekends
If you are applying for a childcare position, how many children have you cared for at one time?

Are there any limitations to the position you are seeking? (i.e. lifting, allergies etc, in school, available part time only, Husband/Wife /Children must relocate with me, must bring cats/dogs etc.)

Can you tell us a little bit about your family background?

Have you lived in any other state or country during your life other than the one you currently live in?
Yes No

If yes, please list all cities, states and countries:

If you are leaving your current position, please explain why:

Do you ever get frustrated / angry? When:

Do you have any issues over working for people of different faiths, ethnicity, cultures, etc., other than your own?
Yes No

If you practice a religion, would you need certain days off for this?
Yes No

If yes what days, holidays etc.:

Do you speak any other languages and, if so, which ones?:

Have you ever-experienced emotional problems? Yes No
Have you ever had counseling? Yes No
If yes, For what, when and are you still in counseling?:

Is there anything in your work/life balance that could create a problem or affect your work performance?:

What are your immediate goals and long-term goals? (5 years & 10 years):

Name Telephone Number Relationship

What is your policy on discipline?:

*** You are not required to answer the following two questions. However, due to the nature of our service, we ask that you consider the importance of the topic. ***

How did you hear about Boca Nannies. LLC.?:

Health/Medical Information( Please complete)
Are you (or have you been) treated for any neck or back disorder or injury?: Yes No
Do you smoke?: Yes No If Yes, specify amount:
Do you drink?: Never Rarely Occasionally Socially Other

Do you take any illegal drugs?: Yes No
Would you be willing to take a drug test?: Yes No

 Specify amount and how often:
Have you changed (or been advised to change) occupations or residence because of health?: Yes No
Do you have any special medical considerations or physical limitations?: Yes No

If yes, please explain:
WORK HISTORY : ( First is most current or last job)
Beginning with your present or most recent job, list all past employers. These employers may be contacted for reference purposes.
1. Name of Company Complete Address
Telephone Number Title

Supervisor's Name

 Employed From:
To
Starting Salary: Ending Salary:
Reason for Leaving: If still employed, may we contact? Yes No
2. Name of Company Complete Address
Telephone Number Title

Supervisor's Name

 Employed From:
To
Starting Salary: Ending Salary:
Reason for Leaving: If still employed, may we contact? Yes No
3. Name of Company Complete Address
Telephone Number Title

Supervisor's Name

 Employed From:
To
Starting Salary: Ending Salary:
Reason for Leaving: If still employed, may we contact? Yes No
4. Name of Company Complete Address
Telephone Number Title

Supervisor's Name

 Employed From:
To
Starting Salary: Ending Salary:
Reason for Leaving: If still employed, may we contact? Yes No
5. Name of Company Complete Address
Telephone Number Title
Supervisor's Name Employed From:
To
Starting Salary: Ending Salary:
Reason for Leaving: If still employed, may we contact? Yes No
6. Name of Company Complete Address
Telephone Number Title
Supervisor's Name Employed From:
To
Starting Salary: Ending Salary:
Reason for Leaving: If still employed, may we contact? Yes No
7. Name of Company Complete Address
Telephone Number Title
Supervisor's Name Employed From:
To
Starting Salary: Ending Salary:
Reason for Leaving: If still employed, may we contact? Yes No

Childcare/Household/Coupes, etc. Experience:
Please list all employment as well as volunteer work below. Please include the corporate experience as well any kinds of: Domestic/Child Care (include ages), Corporate, Educational, and work related experience. For Child Care: Please list: family/institution's name and telephone number, the dates of employment and whether it was babysitting, nanny care, daycare, teaching, etc.

Please only include positions not listed in general work history.

Type of employment Name of Family/Institution and telephone number Dates employed Job duties

Privacy Policy:
Information collected by Boca Nannies & Caretakers, LLC will be used only for the purpose of fulfilling our services which you have requested. Information that you provide to Boca Nannies & Caretakers, LLC will not be given to any other parties without your written consent.

By signing this agreement, the Caregiver ("signee") accepts to pay all fees incurred to Boca Nannies & Caretakers, LLC when Caregiver is hired. Otherwise, the signee will be responsible for all legal and court fees and any other fee caused by failure to pay.

CONTRACT AGREEMENT

Caregivers cannot get involved between families and agency over fees, work agreements, and contractual negotiations.

The agency will pay the full-time and part-time caregiver weekly. 

Caregivers  will be responsible for their 1099.

Hour rise that family wants to pay to the caregiver will go to the caregiver.
Example: If family wants to rise $5.00 or $10.00, that amount will go to the caregiver.

CAREGIVER NEEDS TO NOTIFY THE AGENCY FOR ANY OVERTIME OR EXTRA HOURS OF SERVICE BEFORE PROVIDING ANY SERVICE TO AGENCY'S CLIENT. IF CAREGIVER DOESN'T PROVIDE THIS INFORMATION TO AGENCY THEN CAREGIVER WILL BE RESPONSIBLE TO PAY THE AGENCY FOR HOURS, OVERTIME THAT SHE WORKED AT SAME RATE THAT AGENCY PAYS CAREGIVER FOR THE SERVICE AGREED.

IT WOULD BE A BREACH OF CONTRACT FOR THE FAMILY AND CAREGIVER TO BREAK THE AGENCY'S RULES AND WANT TO DO BUSINESS BEHIND THE AGENCY'S BACK. BOTH PARTIES WILL BE RESPONSIBLE FOR ATTORNEY AND COURT COSTS.

Caregivers need to provide a 2 WEEKS NOTICE to the agency if caregiver wants to stop working, or caregiver will be charged a penalty of $200.00 for last minute notice. Applies to Part-Time and Full-Time position.

CAREGIVERS CAN'T CONTACT ANY AGENCY CLIENTS.
IF CAREGIVER IS NOT WORKING FOR THE AGENCY.
IF CAREGIVER LEAVES THE AGENCY OR SHE GETS FIRED BY THE AGENCY CAREGIVER CAN'T CONTACT ANY AGENCY CLIENTS.

BY SIGNING THIS AGREEMENT I/WE UNDERSTAND AND AGREED TO RELEASE AND DISCHARGE BOCA NANNIES LLC & CARETAKERS LLC AND ITS OWNERS, OFFICERS, DIRECTORS, AND AGENT FROM ANY LIABILITY, LOSSES, OBLIGATIONS OR DAMAGES INCURRED BY ME AS A RESULT OF ITS REFERRAL, OR  BY MY EMPLOYMENT OF ANYONE THROUGH BOCA NANNIES LLC & CARETAKERS LLC

This form must be signed for submittal.

Check to agree and enter your name here for signature.

We Provide Services in South Florida:
Counties: Palm Beach, Broward and Dade

Phone:(561) 702-9431
E-Mail: info@bocanannies.com http://www.bocanannies.com

M-Sat 8am-7pm; Sunday 8am-6pm

We Are Licensed

Fees:

No Application Fee

 

Boca Nannies LLC | Palm Beach, Broward and Miami-Dade | 2010-2024