About this template
Finding the right domestic childcare provider requires gathering detailed background information, medical clearances, and references before scheduling interviews. This Nanny Intake Google Form template streamlines the initial screening process for household staffing agencies, domestic placement coordinators, and private families. Designed to capture essential candidate details in an organized format, it collects professional experience, formal childcare qualifications, driving records, health statuses, and availability preferences.
Instead of managing scattered emails and paper questionnaires, use Doc2Form to turn this structured template into an easily shareable Google Form. Families and agencies can quickly review applicant backgrounds, verify certifications, and evaluate past employment history. This ensures that only qualified, thoroughly vetted candidates move forward to the interview stage, saving time and creating a safer, more transparent hiring workflow for domestic positions.
Key features
- Collect detailed childcare experience and formal qualifications in one organized place.
- Screen for critical requirements including CPR certification, driver's licenses, and health clearances.
- Gather past employer references and employment dates automatically.
- Customize availability and travel willingness fields to match family schedules.
- Review submissions instantly in a connected Google Sheets spreadsheet.
Use cases
Household staffing agencies screening applicants for live-in or live-…
Household staffing agencies screening applicants for live-in or live-out nanny placements.
Private families conducting initial remote vetting for full-time or p…
Private families conducting initial remote vetting for full-time or part-time babysitters.
Domestic placement services gathering background details and referenc…
Domestic placement services gathering background details and reference contacts.
What this form collects
- Full Name (Short answer)Enter your first and last name as it appears on official identification.
- Contact Email (Short answer)Enter the best email address for us to reach you regarding job opportunities.
- Languages Spoken (Short answer)List all languages you speak fluently, noting your proficiency level in each.
- Years of Childcare Experience (Dropdown)Select the bracket that best represents your total professional childcare experience.
- Formal Childcare Qualifications (Checkboxes)Select all certifications and training you currently hold.
- Desired Childcare Job Type (Multiple choice)What type of employment arrangement are you seeking?
- Gross Salary Expectation (Hourly) (Short answer)Specify your desired hourly rate in USD.
- Earliest Start Date (Date)What is the earliest date you are available to begin working?
- Last Childcare Position Summary (Paragraph)Describe your most recent childcare role, including ages of children and primary responsibilities.
- Employer Reference Contact Permission (Multiple choice)May we contact your previous employer for a reference?
FAQ
How do I customize this template for my agency?
Once you open the template in Google Forms, you can easily add, remove, or edit questions to match your specific household requirements or state regulations.
Can I collect resume attachments through this form?
While Google Forms does not support direct file uploads from anonymous users without Google accounts in some settings, you can ask candidates to paste a link to their resume or portfolio in a text field.
Where does the applicant data go?
All submissions are saved automatically in a Google Sheets spreadsheet linked directly to your Google Form, making it simple to filter and compare candidates.
Is this form mobile-friendly for applicants?
Yes, Google Forms automatically adapts to mobile devices, allowing candidates to complete the intake questionnaire seamlessly from their smartphones or tablets.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.