Staffing Registration

Client 1

Client Name

Address

Phone

Email

Current Employer

Work Address

Work Phone

Work Email

Client 2

Client Name

Address

Phone

Email

Current Employer

Work Address

Work Phone

Work Email

Preferred Contact

PLEASE ENTER YOUR PREFERRED CONTACT PERSON IF OTHER THAN THE CLIENT.

Name

Job Title

Phone

Email

Other Information

What is your ideal start date?

Please provide a Detailed Job Description. Remember to include hours, salary and any benefits offered including sick, vacation, holiday pay, health benefits and if there is a car provided for work hours. If this is a live-in position include accommodations.

By submitting this form, I agree to not hire any applicants sent to me by The Nanny Poppins Agency without first paying the appropriate fee to the Agency. I agree to not to contact any applicants that are sent to by/from The Nanny Poppins Agency without first providing the Agency with a signed copy of their Agency Agreement. I agree to contact The Nanny Poppins Agency and request a copy of their Agency Agreement prior to contacting any applicants sent by/from the Agency.

Contact Us Today

Are you in need of trusted, superior care for your home and family? Or, are you a qualified childcare or domestic professional seeking your next placement? Contact Nanny Poppins today, you’ll be glad you did.

If you are having any issues with this form,
please call 888-849-6090

Get In Touch

The Nanny Poppins Agency is a full service, nationwide nanny and domestic staffing agency. We are committed to providing you the best personnel for your unique needs. Contact us today with your questions about live-in, live-out, full-time and part-time caregivers and professionals.

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