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Upper Cumberland Nanny Agency — Nanny Application

Apply to Join Our Nanny Network

Upper Cumberland Nanny Agency represents experienced childcare professionals seeking rewarding nanny positions with families throughout Cookeville and the surrounding Upper Cumberland.

All positions offered through UCNA begin at $20 per hour.

Please complete the application below thoughtfully and accurately. Submission of an application does not guarantee acceptance into the UCNA nanny network or placement with a family.

Are you 18 years of age or older?

A
B

Are you a non-smoker?

A
B

Are you legally authorized to work in the United States?

A
B

Do you have a high school diploma or equivalent?

A
B

Do you have at least 2 years of substantial childcare experience?

A
B

Do you have a valid driver's license?

A
B

Do you have reliable transportation with current registration and insurance?

A
B

Are you willing to complete required background screening prior to placement?

A
B

Are you currently CPR & First Aid certified?

A
B

About You

Full legal name

Preferred name

Email address

Phone number

City, State

Current occupation/employment

Highest level of education completed

A
B
C
D
E
F

If applicable, please list your college/university, degree or area of study.

Do you speak any languages other than English? If so, please list the language(s) and your level of proficiency.

Please upload your current résumé.

Tell us a little about yourself.

Share anything you'd like us—and potentially a future family—to know about you, your interests, personality, or background.

Childcare Experience

Please select all areas in which you have meaningful experience:

Please describe your childcare experience in detail.

How many total years of childcare experience do you have?

What ages do you have the MOST experience caring for?

Have you previously worked through a professional nanny agency?

A
B

What was your most recent childcare position, and why did it end?

Placement Preferences

What type(s) of nanny position are you interested in?

Select all that apply.

How many hours per week are you ideally looking to work?

A
B
C
D
E
F

Which days are you regularly available to work?

Select all that apply.

Please describe your general availability.

Include the times you are typically available to begin and end work on the days selected above.

What is the earliest date you would be available to begin a new position?

What hourly rate are you seeking?

For a permanent nanny position, are you able to commit to at least one year with a family?

A
B
C

Additional Availability & Preferences

Are you willing to work occasional evenings?

A
B
C

Are you willing to work weekends?

A
B
C

Are you willing to provide overnight care?

A
B
C

Are you willing to travel with a family?

A
B
C

Are you comfortable working in a home with pets?

A
B
C

Are there any scheduling needs, position preferences, or responsibilities you would NOT be comfortable with?

Vehicle & Driving Information

What is the year, make, and model of your primary vehicle?

Are you willing to use your personal vehicle to transport children as part of a nanny position?

A
B
C

Have you had any moving violations or at-fault accidents within the past 3 years?

A
B

For positions involving transportation, are you willing to authorize a Motor Vehicle Record (MVR) screening prior to placement?

A
B

Childcare References

Please provide three significant childcare references who can speak to your experience caring for children.
References may include previous nanny families, regular babysitting families, or supervisors from daycare, preschool, school, camp, or other professional childcare settings.
Please do not list family members as childcare references.
Childcare Reference #1

First and Last Name

Relationship to You

Example: Former Nanny Employer, Babysitting Family, Preschool Supervisor

Type of Childcare/Position

Example: Part-Time Nanny, Regular Babysitter, Preschool Teacher

Approximate Dates of Care/Employment

Example: August 2023 – May 2025

Phone Number

Email Address

Childcare Reference #2

First and Last Name

Relationship to You

Example: Former Nanny Employer, Babysitting Family, Preschool Supervisor

Type of Childcare/Position

Example: Part-Time Nanny, Regular Babysitter, Preschool Teacher

Approximate Dates of Care/Employment

Example: August 2023 – May 2025

Phone Number

Email Address

Childcare Reference #3

First and Last Name

Relationship to You

Example: Former Nanny Employer, Babysitting Family, Preschool Supervisor

Type of Childcare/Position

Example: Part-Time Nanny, Regular Babysitter, Preschool Teacher

Approximate Dates of Care/Employment

Example: August 2023 – May 2025

Phone Number

Email Address

Professional/Personal References

Please provide at least one additional professional or personal reference who can speak to your character, reliability, and work ethic. This may include a current or former employer, supervisor, coworker, professor, mentor, or other non-family reference.

Please do not list immediate family members.

Professional/Personal Reference #1

First and Last Name

Relationship to You

Phone Number

Email Address

Professional/Personal Reference #2

First and Last Name

Relationship to You

Phone Number

Email Address

Applicant Certification & Authorization

By submitting this application, I certify that the information I have provided is true, accurate, and complete to the best of my knowledge. I understand that false, misleading, or materially incomplete information may result in removal from consideration or from the Upper Cumberland Nanny Agency candidate network.

I authorize Upper Cumberland Nanny Agency to contact the childcare, employment, professional, and personal references provided in this application for the purpose of evaluating my qualifications and experience.

I understand that submitting this application does not guarantee acceptance into the Upper Cumberland Nanny Agency candidate network, an interview, or placement with a family.

I understand that additional documentation and screening may be required prior to placement.

Please sign your full legal name below to certify your application.

Signature

Date