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 Southern Standard Nannies? *

I am interested in hiring a/an: *

Full-Time Nanny

Part-Time Nanny (Southern Standard Nannies requires at least 20 hours of need per week)

Temporary Nanny (up to 90 days of coverage)

Summer Nanny

Nanny for a Nanny Share

Family Assistant/Household Manager

Estate Manager

Private Educator

Newborn Care Specialist

Eldercare Provider/Companion

Personal Chef

Housekeeper

Sleep Specialist

Doula

I'm not sure and would like to chat through this.

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): *

tDAP (Tetanus, Diphtheria, Pertussis)

Influenza (Flu)

COVID-19

MMR (Measles, Mumps, Rubella)

We don't require any vaccinations

I am in need of immediate assistance. Please check this box if you need someone to reach out within 24 hours.

*Please finish filling out this form before you reach out, and read through the email that we'll send your way upon completion of this form.

We'll be sending you a Calendly link to schedule time with us. If that doesn't work, let us know how to best be in contact with you.

Please check your email and your Spam folder after you press Submit. If you don't hear from us within five minutes, feel free to reach out to [email protected].