Please complete this application form thoroughly and honestly. All information provided will be kept confidential.
First Name
Last Name
Street Address
City/Suburb
State/Province
Postal/Zip Code
Phone Number
Email Address
Emergency Contact Name
Emergency Contact Phone Number
Do you have your own transportation?
If yes, what type of vehicle do you have?
Do you have a valid driver's license?
If yes, License Number.
Do you have car insurance?
Please indicate your availability by checking the appropriate boxes.
Day | Morning (7am-12pm) | Afternoon (12pm-5pm) | Evening (5pm-10pm) | Overnight (10pm-7am) | |
|---|---|---|---|---|---|
Monday | |||||
Tuesday | |||||
Wednesday | |||||
Thursday | |||||
Friday | |||||
Saturday | |||||
Sunday |
Are there any other times you are available or unavailable? Please specify.
What is your minimum hourly rate expectation?
Do you have prior babysitting experience?
If yes, please describe your experience, including the ages of the children you cared for, the duration of your employment, and your responsibilities:
Have you ever cared for children with special needs?
If yes, please describe your experience:
Do you have any training or certifications related to childcare?
If yes, please list them:
Can you provide references?
Reference 1
Full Name
Phone Number
Email Address
Reference 2
Full Name
Phone Number
Email Address
What are your strengths as a babysitter?
Are you comfortable with the following tasks?
Preparing meals/snacks
Bathing children
Putting children to bed
Playing games and engaging in activities
Light housework related to childcare (e.g., cleaning up toys)
Helping with homework
Administering medication (if applicable and with parental permission)
Other:
What are some of your hobbies and interests?
Do you have any allergies or medical conditions we should be aware of?
If yes, please explain:
Do you smoke?
Do you have any pets?
I authorize [Your Name/Family Name/Agency Name - if applicable] to conduct a background check, which may include criminal history and reference checks.
I certify that the information provided in this application is true and accurate to the best of my knowledge. I understand that any false statements or omissions may result in disqualification from consideration or termination of employment.
Applicant Signature
Thank you for completing this application!
Form Template Insight
Please remove this form template insight section before publishing.
This babysitter application form is designed to gather comprehensive information about potential babysitters, allowing families or agencies to make informed decisions. Here's a breakdown of the form's purpose and the insights it aims to provide:
Section 1: Personal Information: This section establishes the basic identity and contact information of the applicant. It's crucial for communication and verification. Questions about transportation and driving are important for practical considerations.
Section 2: Availability: This section is essential for determining if the applicant's schedule aligns with the family's needs. It asks about specific time slots and days of the week, allowing for a clear picture of the applicant's availability. The minimum hourly rate question helps avoid misunderstandings early on.
Section 3: Experience and Skills: This is the core of the application. It delves into the applicant's childcare background, including the ages of children they've cared for, any experience with special needs children, and relevant certifications like CPR or First Aid. Reference requests are vital for verifying the applicant's claims and getting feedback from previous employers. Asking about strengths allows the applicant to highlight their best qualities. The checklist of tasks helps determine the applicant's comfort level with various childcare duties.
Section 4: Personal Interests: While seemingly less critical, this section provides insight into the applicant's personality and potential compatibility with the children. Hobbies and interests can reveal shared passions, which can be beneficial for engaging children. Information about allergies or medical conditions is crucial for the safety of both the applicant and the children. Questions about smoking and pets are also important considerations for many families.
Section 5: Background Check Authorization: This section is critical for ensuring the safety of the children. It seeks the applicant's consent to conduct a background check, which may include criminal history and reference checks. This is a standard practice for anyone working with children.
Section 6: Agreement: This section confirms that the information provided is accurate and truthful. It emphasizes the importance of honesty and the potential consequences of providing false information.
Overall Insights the Form Provides:
By carefully reviewing the completed application, families can gain a comprehensive understanding of each applicant and make the best decision for their childcare needs.