Raleigh/Triangle Sitter Application Click Here for Charlotte Area Signup First Name Middle Initial Last Name Address City Zip Code Cell phone Email Birth Date Password Creating a positive first impression is essential when it comes to childcare services. The first things that our clients see about you is your bio and picture that you put up on your profile. Therefore, it's crucial to ensure they are professionally crafted and present you in the best possible light Your profile picture and bio below should be professional, friendly, and reflect your personality accurately. Your Bio Should Mention: The age range of children you have experience with and feel comfortable caring for, as well as any prior experience with special needs children, previous nanny experience, and infant and newborn care. Provide specific examples of your experience in the childcare industry. Describe how you engage and entertain the children in your care and the activities and approaches you use to ensure they have a great time. Your Bio: Upload Profile Photo (Max file size = 4MB) Image will be resized to 350 pixels wide. Large files will take longer to upload. Only hit the submit button once. Do you smoke? Please note: childcare is a non-smoking industry Yes No Do you have a valid driver's license? Yes No Driver's License Expiration Date Car Insurance Expiration Date State issued State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming OTHER Do you have own and drive a dependable car? Yes No Car Make Car Model Year Car Made Year 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Are you CPR certified? Yes No Date of Certification Can you swim? Yes No Do you feel comfortable taking children swimming? Yes No Are you under the age of 18? Yes No Do you feel comfortable transporting children in your car? Yes No What about the parent's car? Yes No Do you have at least two years of child care experience? Yes No Current Occupation Education: Please include schools, dates, and degrees earned. Are you currently employed? Do we have permission to contact your current employer? Do you have any medical concerns? If yes, please explain. Do you have children? Are you comfortable around animals? Please describe your childcare/babysitting experience (i.e. number of years of experience, ages of the children you’ve worked with, and your responsibilities while providing care). Do you have experience with infants? If so, please explain. Do you have experience with working with children who have special needs, allergies, or children with autism spectrum disorder? If yes, please explain. Please provide 2-3 professional childcare-related references, including their names, phone numbers, and your relationship with them. Your references must be individuals who have witnessed you caring for children and cannot be family or friends. Suitable references may include families you have provided childcare for, coworkers or supervisors who have observed your childcare abilities. Please make sure to contact your references before submitting your application to let them know we will be calling them. Please list your preferred schedule. COVID Vaccine Status Boosted Vaccinated (two shots) One shot I plan on getting vaccinated if needed Unvaccinated/I do NOT plan on getting vaccinated Have you ever received a traffic violation or been charged with a crime? This includes but not limited to: Speeding tickets? If so, how many? Car accidents? If so, how many? Misdemeanor or felony charges that have been dismissed, are pending a court date and/or in the process of being dismissed. If you were caring for a child who was upset, how would you handle the situation? Peak City Sitters’ has a responsibility to provide quality and professional sitters to our clients. Our sitters must be reliable, responsible, and trustworthy. Please explain why you would be a good fit for our agency. Why do you want to work for Peak City Sitters? How did you hear about us? Questions/Comments By CHECKING THIS BOX, I consent to receive occasional automated text messages at the number provided, and I agree that texts may be sent using an auto dialer or other technology. I can reply STOP to cancel.