First Name

Last Name

Pronouns *

She/Her/Hers

He/Him/His

They/Their/Them

I'd prefer not to say

Occupation *

Phone *

Email *

Address

Street Address *

City *

State *

Postal code *

How did you hear about Triangle Nannies & Household Staffing (formerly My Girl Friday)? *

I'm reaching out to the agency to pursue access to subscription floater access. *

Have you ever worked with an agency before? *

I need to fill this need/role: *

As soon as humanly possible

Within 4 weeks

Within the next 4-8 weeks

We have a long runway - our position doesn't begin for another 8+ weeks

Please provide a concise description of the ideal schedule for the caregiver. *

*Note that we only accommodate needs of 20 or more hours per week.

Briefly tell us about your family: *

Many families prefer their caregiver to be up-to-date on certain vaccinations to help ensure a healthy environment for everyone. Please indicate if you would like your caregiver to be current on any of the following (check all that apply): *

I am in need of immediate assistance. Please check this box if you need someone to reach out within 24 hours. Also, please feel free to give us a call at (919) 813-9533. This number also receives text messages.

*Please finish filling out this form before you reach out.

When is the best time for us to reach out? *