Gentle Hands Newborn and Postpartum Care
Nannies & Babysitters
This form is for service inquiries only.

Gentle Hands is a referral and employment agency that agrees to provide services for clients seeking Baby Nursing, Postpartum Care and Labor Support Doulas and Nannies.

All of our staff are certified in CPR and First Aid with certifications in their respective fields of employment.

Use this form to send your application to us via e-mail.
Client's Full Name:
Spouse's Full Name:
Address:
Cross Street:
Apartment Number:
City:
State:
Zip Code:
Home Phone:
Fax Number:
Client E-mail:
Client Occupation:
Work Phone:
Work Fax:
Cell Phone Number:
Spouse Occupation:
Work Phone:
Cell Phone:
We are interested in:
Live-in
Live-out
Full-time
Part-time
Temporary
Driver
Non-Driver
Children's Information
Name:
M   F
Interests:
Name:
M   F
Interests:
Name:
M   F
Interests:
Please let us know the nanny's responsibilities .
What accomodations & benefits will the nanny receive?
Private Bedroom
Private Bathroom
Shared Bathroom
TV
Cable
Paid Vacation and Holidays
Major Holidays Off
Access to Car
Paid for Overtime
Please list if you have pets:
*Length of Time requested:
*Required Minimum of 10 days
Nanny's Work Schedule
Mo. - Fr.
Start:
Finish:
Tu. - Sa.
Start:
Finish:
Weekends
Start:
Finish:
Desired Starting Date: Immediately or on
Is your home accessible by bus or train?     Bus     Train
Please describe your ideal Nanny/Babysitter:
Have you had a Nanny/Babysitter before?     Yes       No  
Please tell us about your family:
Additional Information:
How did you hear of us?
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Gentle Hands
Phone: 212-767-9173
www.GentleHandsChildcare.Com
E-mail: gentlehands@GentleHandsChildcare.com