Sitter Application - sittersbytheshore

Personal Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Date of Birth *

Emergency Contact Name *

First

Last

Emergency Contact Phone *

List the states you have lived in during the previous three years. *

I am legally eligible to work in the United States. *

Position Desired *

Part Time Babysitter
Full Time Babysitter
Summer Babysitter
Pet Sitter

List the hours and days you are able to work. *

Date you can begin work: *

Maximum number of children you are willing to care for: *

Ages of children you prefer to work with: *

I am experienced with children of the following ages: *

Tell us about yourself including your hobbies and personal interests. *

Describe your personality: *

Please list any skills or talents you have in music, art, athletics, technology, education, nutrition, cooking, foreign languages, etc. *

Are you comfortable around animals? *

What animals would prevent you from taking a job at a client's home? Please explain. *

Do you have any medical conditions that would impact how you perform the job? *

Please explain your medical conditions. *

Can you swim? *

Would you be comfortable taking a child swimming? *

Will you work evenings? *

Will you work weekends? *

Do you have any visible tattoos? *

Do you have any face piercings? *

Trainings/Cerifications *

Infant/Child First Aid Trained
CPR Certified
Certified Life Guard
None

Provide expiration dates: *

If you are not currently certified, do you agree to become certified for CPR and First Aid within 30 days? *

Yes
No

Do you have a valid driver's license? *

Have you ever been charged and/or convicted of a DUI or DWI? *

Have you ever been arrested? *

Have you ever been convicted of a misdemeanor or a felony? *

If you answered yes, please explain: *

Education History

High School Name, City,/State, Year Graduated

College School Name, City/State, Year Graduated, Degree

Employment History

Please start with your most recent employer.

Employer 1

Supervisor Name 1

First

Last

Supervisor Phone 1

Dates Employed 1

Reason for Leaving 1

Employer 2

Supervisor Name 2

First

Last

Supervisor Phone 2

Dates Employed 2

Reason for Leaving 2

References

Provide three child care related references. *

Inlcude name and phone numbers for all three references.

Provide at least two personal references that are not related to you. *

Inlcude name, phone number, and relationship for all references.

Documents

Resume Upload

Click or drag a file to this area to upload.

By submitting this application, you certify that the information provided in this application and resume is true and complete. I authorize Sitters by the Shore Corporation or its representatives to investigate all statements contained in this application. I understand that any facts may result in rejection of my application. I authorize any person, school, current employer (unless otherwise noted in this application), past employer(s), and organizations named in this application and resume and any other person or entity with knowledge of me to provide Sitters by the Shore Corporation with any information and opinion in which Sitters by the Shore Corporation regards as useful in making a referral decision. I release such persons and organizations from any legal liability in making such statements, or furnishing any and all information which the agency may seek. I understand that I will not have access to the confidential information received, however, I agree to relieve Sitters by the Shore Corporation of any liability or consequences which might result from obtaining said information from others.