Provider Application

We place well-qualified and experienced Childcare professionals as in-home sitters, full time or part time nannies in Louisville's Jefferson, Oldham, and Bullit County areas. We place live-in and live-out nannies who want to work in full-time or part-time jobs. There are no agency fees associated with finding you (Nanny Candidate) a nanny job through Sitters Service.

Please fill out the form below to apply as a Sitters Service Provider.

Your Information

First Name *

Last Name *

Phone *

Email *

Address *

Address 2

City *

State *

Zip *

Legal Eligibility

Citizenship *

US Citizen

Non-US Citizen (Permitted to Work)

Currently enrolled with a similar company? *

Yes

Ever been convicted of a felony? *

Yes

Reference Contact

Full Name *

Phone *

Relationship *

Previous Employment

Family / Company *

Phone *

Salary

Employed From *

Employed Through *

Reason for Leaving

Responsibilities

Family / Company

Phone

Salary

Employed From

Employed Through

Reason for Leaving

Responsibilities

Family / Company

Phone

Salary

Employed From

Employed Through

Reason for Leaving

Responsibilities

Education

Are you at least 18 years old with a high school diploma, GED or formal education in child-related studies? *

Yes

High School

School Name *

City *

State *

Attended From *

To *

Graduated?

Yes

Year Graduated

College

Currently enrolled in college? *

Yes

College Name *

City *

State *

Attended From *

To *

Graduated?

Yes

Degree

Work / Schedule Preferences

Positions seeking

Occasional

Full-time

Part-time

Nights & Weekends

Summer

Pet/House Sitting

Select your general availability

	Sun	Mon	Tue	Wed	Thu	Fri	Sat
Mornings
Afternoons
Evenings

Important

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law.

I understand it is this company's policy not to refuse to hire a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the ADA.

I acknowledge that the answers given are true and accurate. I understand that making false statements or omitting pertinent facts is sufficient cause for dismissal from consideration. *

Enter your initials *

Client Family or Care Providers

Let's get started!

Client Registration Provider Application