Family application

* Your Names (Both) (First and last)

* Your Email Address

* Email Address Again

* City/village Country where nanny would serve:

* Are you serving with a qualified mission board?
YesNo

If so, name of board:

Please attach a recent photo of your family (required).

* Will you provide free room and board to the volunteer nanny?
YesNo

If not, please explain:

* Will you commit to a three month tour of duty for the Mission Nanny?
YesNo

* Have you read and agree with the Disclosures and Limits of Liability? (If No, please do not apply.)
YesNo

Your Phone Number (from USA phones):

Your Complete Postal Mailing Address

Name, Mailing Address and Phone of the Church or Mission Board under which you serve. (Please provide the phone number as it would be dialed from the USA)

Name, address, phone, and contact person of your home church.

When does your term end?

Your ministry's web page address, if any.

Provide a brief description of your family. Please include names and year of birth (NOT AGES) of your children.

Provide a brief description of your ministry. Mention ways that your Nanny could join in ministry, if appropriate.

About Your Mission Nanny

Primary duty of your Mission Nanny.

OTHER DUTIES YOU EXPECT OF YOUR NANNY.

Meal Prep?

House Cleaning?

Child Care/Baby Sitting?

Tutoring?

Driving?

Food Shopping?

Laundry?

Other duties or comments?

Desired start date

Typical workday hours:

How many days per week?

Would you charge her for food?

If yes, how many dollars/week?

Other expenses she would incur (Describe)

Describe the room/housing you have for a nanny. Is it bath private? or shared bath?

Are there medical facilities near?

Doctor?

Hospital?

Are internet and cell phone service available to the nanny?

Name of the airport where the Mission Nanny should arrive.

Could you meet her plane?

Anything else?

We reserve the right to contact your home church and/or Mission Board and make any necessary inquiries.