CuraBabysitters Club Application

Section 1 — Personal Information

First Name *

Last Name *

Date of Birth *

Age *

Street Address *

City *

State / ZIP *

Phone Number *

Email Address *

Section 2 — Availability & Compensation

Days Available (select all that apply)

Times Available (select all that apply)

Desired Hourly Rate ($) *

Minimum Hours per Week

Additional Availability Questions

Are you comfortable with overnight stays? *

Yes No Depends on the situation

Maximum number of children you're comfortable caring for at once *

1 2 3 4+

Are you willing to help watch children at family parties or events? *

Yes No Maybe / open to discussing

Section 3 — Experience

Years of Babysitting Experience *

Ages of Children Cared For

Comfortable Caring For (select all that apply)

Describe your babysitting experience *

Section 4 — Certifications & Skills

Languages Spoken (if applicable)

Do you have reliable transportation?

Yes No

Section 5 — References (Non-Family)

Please provide two references who can speak to your childcare abilities.

Reference 1

Full Name *

Relationship to You *

Phone Number *

Email Address

Reference 2

Full Name *

Relationship to You *

Phone Number *

Email Address

Section 6 — About You

Why do you want to join the CuraHome Babysitter Club? *

Is there anything else you'd like us to know about you?

Section 7 — Consents & Signature

Full Legal Name (Typed Signature) *

Date *

Babysitter Club Application

CuraHome Care Co.

Follow