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Homework Help

For Families Seeking Quality Childcare

We are committed to connecting families with professional caregivers who excel in
quality childcare and family support. As you complete this application, please provide
detailed information about your family's needs and preferences. This will enable us to
find the best match, ensuring your caregiver becomes an integral and valued part of
your family.

Please fill out the form below

Family information

Parent/Guardian

Would you like to include another parent or guardian in this application?
Yes
No

Home Address

Multi-line address

Family Details

Children (Add details for each child)

Pets (Add details for each pet, if applicable)

Care preferences

Type of Care Needed: Select all that apply:
Caregiver Qualifications: Select preferences:
Do you require someone who can travel?
Yes
No
Do you require overnight coverage?
Yes
No
Do you require weekend availability?
Yes
No

Scheduling & Start Date

Start Date
Month
Day
Year
Shift Length:
4 hours
8 hours
10 hours
12 hours
18 hours
24 hours
Other

Compensation & Benefits

From $ to $$$

Per
Hour
Week
Month
Year
Benefits Offered: Select all that apply:

Family Environment

Is there anything unique about entering your home?

(e.g., Doorman, Parking, Driveway Access)

Please describe other household tasks you expect the caregiver to assist with (e.g., meal prep, laundry, cleaning):

Describe the activities you'd like the caregiver to engage in:

Are there cultural or religious practices that the caregiver should respect or

incorporate?

If applicable, what challenges have you experienced with your children that the

caregiver should be prepared for?

Relationship with Caregiver

How would you like your relationship with your caregiver to be? (e.g., professional,

warm and family-like)

What are the top three attributes your family values most in a caregiver?

Additional Information

(This information will NOT be shown to candidates)

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