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CAREGIVER APPLICATI0N

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FOR FAMILIES
CONTACT US
CAREGIVER APPLICATI0N

— Join Our Team —

Caregiver Application

Apply to become a Belleva Academy certified caregiver. We are looking for professionals who embody discretion, professionalism, and genuine care.

— Join Our Team —

Caregiver Application

Apply to become a Belleva Academy certified caregiver. We are looking for professionals who embody discretion, professionalism, and genuine care.

— Personal Information —

First Name

Last Name

Phone *

Email *

City

State

Date of birth

Do you have a valid driver's license?

Yes

No

Do you have your own vehicle?

Yes

No

Languages Spoken

— Experience & Qualifications —

Years of Childcare Experience *

Highest Education Level

Certifications & Training

CPR Certified

First Aid Certified

Early Childhood Education Degree or Certificate

Newborn Care Specialist Training

Special Needs Experience / Training

Montessori Training

Other (please specify below)

Other Certifications or Training

Age Groups You Have Worked With

Newborns (0–3 months)

Infants (3–12 months)

Toddlers (1–3 years)

Preschool (3–5 years)

School Age (5–12 years)

Teenagers (13+ years)

— Availability & Placement Preferences —

Type of Position You Are Seeking *

Full-Time (40+ hours/week)

Part-Time (under 30 hours/week)

Live-In

Live-Out

Temporary / Short-Term

Travel Nanny

Newborn Care Specialist

Family Assistant

Available Start Date

Willing to Travel?

Yes

No

Domestically only

Comfortable With Pets?

Yes

No

Depends on pet type

Salary Expectation (per week)

— Professional References —

Please provide two professional references. These will only be contacted after your initial interview.

Reference 1 — Full Name

Reference 1 — Relationship

Reference 1 — Phone

Reference 1 — Email

Reference 2 — Full Name

Reference 2 — Relationship

Reference 2 — Phone

Reference 2 — Email

Are you willing to undergo a full background check?

Yes

No

— About You —

Tell us about yourself and your childcare philosophy *

Describe a challenging situation you handled with a child and how you resolved it

Why do you want to work with Belleva Academy?

I confirm that all information provided is accurate and complete. I understand that Belleva Academy maintains a zero-tolerance policy for unprofessional conduct and I agree to uphold the highest standards of discretion and professionalism.

Your application is completely confidential. Our team will review your submission and reach out within 3–5 business days.

Privacy Policy | Terms of Service

— Personal Information —

First Name

Last Name

Phone *

Email *

City

State

Date of birth

Do you have a valid driver's license?

Yes

No

Do you have your own vehicle?

Yes

No

Languages Spoken

— Experience & Qualifications —

Years of Childcare Experience *

Highest Education Level

Certifications & Training

CPR Certified

First Aid Certified

Early Childhood Education Degree or Certificate

Newborn Care Specialist Training

Special Needs Experience / Training

Montessori Training

Other (please specify below)

Other Certifications or Training

Age Groups You Have Worked With

Newborns (0–3 months)

Infants (3–12 months)

Toddlers (1–3 years)

Preschool (3–5 years)

School Age (5–12 years)

Teenagers (13+ years)

— Availability & Placement Preferences —

Type of Position You Are Seeking *

Full-Time (40+ hours/week)

Part-Time (under 30 hours/week)

Live-In

Live-Out

Temporary / Short-Term

Travel Nanny

Newborn Care Specialist

Family Assistant

Available Start Date

Willing to Travel?

Yes

No

Domestically only

Comfortable With Pets?

Yes

No

Depends on pet type

Salary Expectation (per week)

— Professional References —

Please provide two professional references. These will only be contacted after your initial interview.

Reference 1 — Full Name

Reference 1 — Relationship

Reference 1 — Phone

Reference 1 — Email

Reference 2 — Full Name

Reference 2 — Relationship

Reference 2 — Phone

Reference 2 — Email

Are you willing to undergo a full background check?

Yes

No

— About You —

Tell us about yourself and your childcare philosophy *

Describe a challenging situation you handled with a child and how you resolved it

Why do you want to work with Belleva Academy?

I confirm that all information provided is accurate and complete. I understand that Belleva Academy maintains a zero-tolerance policy for unprofessional conduct and I agree to uphold the highest standards of discretion and professionalism.

Your application is completely confidential. Our team will review your submission and reach out within 3–5 business days.

Privacy Policy | Terms of Service