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Name (first and last):
Maiden Name:
Home Phone Number:
Cell Phone:
Other Phone:
Email Address:
Position you are seeking:
Please list the days/hours you are available to work:
If applying for full time, can you make at least a one year commitment?
Date you are available to start working:
Are you over 18 years of age?
Do you have a high school diploma or G.E.D.?
Do you have a college degree?
If yes, please list degree:
Are you currently enrolled in college or other school?
What is your area of study?
Do you have at least 3 solid child care references?
Please tell us about your child care experience
(TLC requires a minimum of two years of professional child care experience for all full and part time nanny positions):
Do you have infant experience?
Have you ever been convicted of a felony?
Do you have a valid driver's license?
Are there any violations on your driving record?
Do you have a car?
Is your car safe for transporting children?
Do you have your own children?
If yes, please list the ages of your children:
Are you looking to bring your own children to work with you?
Are you infant/child CPR certified?
What are your salary requirements?
How were you referred to TLC Caregivers?

For more information, call TLC 816-550-3407