Mollycoddlers, LLC Family Application
Thank you for choosing Mollycoddlers, LLC for your childcare needs.  Please fill out this
application as completely as possible so that I can use the information to find you the perfect
nanny for your family.  Once I receive your completed application I will contact you by phone to
go over any questions I may have and to see if you have questions for me.
My Family's Information
Parent's name or names:
Mother's Occupation
Father's Occupation
Zip
Code:
Home address:
City/State
Eve phone:
Day phone:
Email:
1. Child's name:
DOB::
Gender:
Please tell us about your child's
likes/dislikes/interests and special needs:
2. Child's name:
DOB:
Gender:
Please tell us about your child's
likes/dislikes/interests and special needs:
3. Child's name:
DOB:
Gender:
Please tell us about your child's
likes/dislikes/interests and special needs:
Our Ideal Nanny
Babysitting Services
Overnight Nanny
Part time nanny (up to 29 hrs/wk)
Mini nanny (up to 4 months)
Live-in nanny
Full time nanny (30+ hrs/wk)
If seeking a live-in nanny what are the
sleeping arrangements?
Are you open to a nanny that needs to bring
her child with her?
Yes
No
Will your nanny be driving your children?
Yes
No
Yes
Will your nanny be running errands for you?
No
Will you be providing a car for your nanny?
No
Yes
Yes
No
Will parent/s be working from home?
Yes
Do you require your nanny to travel?
No
If yes, please
describe pets.
No
Yes
Do you have pets?
What days/times are best for you to
interview nanny candidates?
     Nannies typical pay range:
1 child $12-15/hr                          2 children $14-16/hr  
3 children $15-18/hr                   4 children $16-20/hr
How much will you be paying your nanny?
Either hourly or weekly?
If you will be providing benefits such as medical benefits, vacation pay, sick
pay, or anything else  to your nanny please describe them below.
Please list any other languages you would like
your nanny to speak.
What hours and days will your nanny be
required to work?
What type of housekeeping will you require?
none
light
heavy
Please describe what type of
cleaning will be required.
Will the nanny be cooking for
the children or the family?  If
so, please describe.
What age nanny are you open to?  You may select more than one.
20's
30's
40's
60's
50's
No preference
Please tell what
characteristics you are
looking for in your nanny.
What date would you like your nanny to begin?
If you are hiring a mini (temp) nanny how long will you be needing the nanny?
How did you learn about Mollycoddlers, LLC?
                          How it Works
1. Mollycoddlers, LLC offers temporary, part time and full time placements for nannies. Please note that nanny
candidates are not the employees of Mollycoddlers, LLC. Our fees include initial interviewing of potential
nannies, reference checking, assistance with salary negotiation, assistance with scheduling interviews, and
matching nannies to your specific criteria for a nanny. All prices include a background check including
criminal backgrounds, sexual offender search, DMV, and social security trace.
Our pricing is as follows:
Mini nanny/temp nanny (max of 3 months) $600.00
Part time nanny (29 hours or less per week) $1000.00
Full time nanny (30 hours or more per week) $1250.00
Live in nanny $1500.00

2. Client agrees to pay a non refundable retainer fee of $250.00 to Mollycoddlers, LLC to begin the nanny
search. Upon successful search completion, the full amount of the retainer fee will be applied towards the
placement fee.

3. Client agrees to pay the remainder of the placement fee ($350.00 for a mini nanny, $750.00 for part time
nanny, $1000.00 for a full time nanny, or $1250.00 for live in nanny) to Mollycoddlers, LLC prior to the first day
of nanny’s employment with client.

4. Mollycoddlers, LLC guarantees the nanny will stay employed with the client for a period of 4 months (120
days) or Mollycoddlers, LLC will replace the nanny at no extra charge to the client. This guarantee becomes
null and void should the client subject the nanny to an unfair or illegal work condition, not provide nanny with
agreed upon number of hours, eliminate the position, or not pay nanny agreed upon salary. If client finds a
nanny outside of using Mollycoddlers, LLC or decides they no longer need a nanny for whatever reason, then
Mollycoddlers, LLC has no obligation to refund any part of the finder’s fee. Mollycoddlers, LLC will not refund
any part of the finder’s fee at any time after finding the client a nanny. In the event that the nanny does not
work out within the 120 days, the client agrees to call Mollycoddlers, LLC and ask for a replacement.
Mollycoddlers, LLC will try their best to find a replacement free of charge within 45 days. If Mollycoddlers, LLC
is not able to find client a replacement with 45 days, they will continue to look but will not refund any money
paid. Client will be responsible for the cost of an additional background investigation on the replacement
nanny.

5. For a mini nanny, employment is not to exceed 3 months, and is guaranteed for 1 month (30 days). This
guarantee becomes null and void should the client subject the nanny to an unfair or illegal work condition, not
provide nanny with agreed upon number of hours, eliminate the position, or not pay nanny agreed upon salary.
If client finds a nanny outside of using Mollycoddlers, LLC or decides they no longer need a nanny for
whatever reason, then Mollycoddlers, LLC has no obligation to refund any part of the finder’s fee.
Mollycoddlers, LLC will not refund any part of the finder’s fee at any time after finding the client a nanny.

6. Client understands that Mollycoddlers, LLC is a referral agency only, and is not an employer of the nanny.
Mollycoddlers, LLC assumes no responsibility or liability for damages resulting from theft, property damage,
improper care, or any other wrongful actions by nanny. Client will hold Mollycoddlers, LLC harmless for any
liability arising out of the employment of any applicant referred to them by Mollycoddlers, LLC.

7. Client agrees that all disputes between client, Mollycoddlers, LLC and/or nanny shall be resolved through
final and binding arbitration.
By signing below, I agree that I have read and understand the Search Agreement, and I accept the terms and
conditions laid out within the agreement
Signature of Applicant:
Date: