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BECOME A BABYSITTER, STAFF APPLICATION

Home >> Become a Babysitter, Staff Application

First name

Last name

Email

Phone

Address

City

State

Zip

Birth Date

School / Major

How did you hear about Buckeye Babysitters?

Emergency Contact Name

Relation to Babysitter

Emergency Contact Name

Years of Experience

Profile Photo

Upload File

Resume (Optional)

Upload File

CPR Certification (Optional)

Upload File

Babysitter Introduction

Previous Work Experience

Employer

Supervisor

Phone

Dates Worked

Pay

Reason for leaving

Child Care Experience

List most recent jobs first

Employer's Name

Age(s) of child(ren) when you cared for them

Dates of Care

Pay

Duties

Reason for leaving

Miscellaneous Information

How many hours per week do you want to work

What is your vehicle make and model?

What is your availability? * (List days and times you're available to work)

What is your vehicle's license plate number?

Are you willing to swim with children?

Yes

No

Are you willing to drive children?

Yes

No

Is there any housework that's off limits?

Yes

No

Are you willing to do housework?

Yes

No

Are you willing to run errands?

Yes

No

What is your availability? * (List days and times you're available to work)

Are you willing to stay overnight?

Yes

No

Are you willing to work when the parents are home?

Yes

No

Are you willing to accompany the family on vacation?

Yes

No

Are you a smoker? (Cigarettes, e-cigarettes, or vapes)

Yes

No

By signing this document, I certify that all of the information given in this application is true. State your name below as your electronic signature.

A phone screening and interview will occur with selected applicants.

Thanks for submitting!

CONTACT US

E-mail: info@buckeyebabysitters.com

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