Select Nannies - For Families - Family Application Form

Are you thinking about getting a live-in caregiver but have some questions? Or maybe you didn't see exactly what you were looking for and would like some help in making your decision. Whatever the case, just complete the inquiry form below, and send it to us by clicking on the "Submit" button at the bottom. One of our agents will contact you shortly to answer your questions. There is NO OBLIGATION, so give us a try. If you would rather speak with an agent personally, you may phone us at 1 866 710-1287.

If you are ready to proceed with the next steps, please fill out the online application here, which will give us all the information required to complete the government documents for you.

First Name:

Last Name:

E-mail Address:

Daytime Telephone Number:

(Including Area Code)

Evening Telephone Number:

(Including Area Code)

Best Time to Contact You?

Preferred Contact:

By Email
By Phone

Comments:

How did you hear about us?
If you were referred by someone, please list their name:

This information is kept confidential and will not be used for marketing purposes. Thank you, we look forward to speaking with you soon!

Remember, there is no obligation in providing this information. Thank you for your interest!

If you are ready to proceed with the hiring of the Caregiver, please fill out the complete online application. There is no fee for you to register with us online.

To apply, please fill out our online Family Application form, click on the link below.

Apply Online:

Fill in the online Family Application form by clicking here.

Please Note: The form will take approx. 10 minutes to fill out,
so please be sure to set aside enough time to complete it. Thank-you.