Become a Sitter | Sitters In A Second, Inc.

Contact information

First Name

Last Name

Cell Phone

Secondary Phone (optional)

Personal Email Address (DO NOT USE an ".edu" domain)

School Email Address

Location

Secondary Location (if you would like to work in another location)

New Password Your password must be at least eight (8) characters in length.

Confirm Password

Contact Information

Date of Birth

Permanent Address

(can not be a school address)

Address

City

State

Zip Code

Local Address

(may be a school address)

Address

City

State

Zip Code

Emergency Contact

First Name

Last Name

Relation

Cell Phone

Secondary Phone

Address

City

State

Zip Code

Education Information

What is your highest level of education?

Name of School:

Graduation Date:

Degree Earned:

City:

State:

Major/Minor:

Honors/Extracurricular Activities:

Application

Response Test	Question
Yes No	Are you 18 years or older? (or will be of legal age (18) within the next 90 days)
Yes No	Legal to work in the U.S.?
Yes No	Do you have a criminal record?
Yes No	Do you have three verifiable childcare references within the last 10 years? One reference may be from a family member other than for your own children or siblings.
Yes No	Do you have a valid Infant and Child CPR Certification?

How did you hear about Sitters In A Second, Inc.?

Online College/University event Flyer Other

Please be specific:

Response	Question
Yes No	Do you speak a language other than English? If yes, what language(s)?
Yes No	Are you able to arrive at a babysitting job completely smoke, drug, and alcohol free, including not smelling like cigarette smoke?
Yes No	Do you have any pet or food allergies? If so, please explain:
Yes No	Are you able to ascend/descend a flight or more of stairs?
Yes No	Are you able to move/transport a child weighing at least 35 pounds?
Yes No	Are you able to consider alternative and diverse perspectives, to reason logically and make sound decisions, to communicate effectively both orally and in writing, to remain poised under all circumstances, and to interact effectively with people in a positive manner that engenders confidence and trust?
Yes No	Do you have a valid Driver’s License?
Yes No	Do you have full access to an automobile?
Yes No	Do you have a valid Social Security card that allows you to work in the United States without DHS authorization?
Yes No	Are you a United States Citizen?

Experience

How old were you when you first started babysitting unsupervised?

What ages are you experienced with?

Response	Question
Yes No	Do you know how to swim?
Yes No	Do you prefer swimming/beach jobs?
Yes No	Do you feel comfortable assisting a child who is potty training?
Yes No	Do you feel comfortable changing diapers?
Yes No	Do you feel comfortable bathing a child?
Yes No	Do you feel comfortable giving a child a bottle?
Yes No	Do you feel comfortable watching children who are mentally or physically challenged?

About You

Where are you originally from?

If not originally from here, when did you move to this area and why?

Do you have children? If so, how old are they?

Are you currently employed? If yes, please list your current position.

What are your immediate goals?

What are your future goals?

Tell us about any volunteer or extracurricular activity in which you participate.

What would be three words to describe yourself

How would your closest friends describe you?

Are you experienced with overnight babysitting and if so, would you be interested if a job arises?

Childcare Activities - Part 1

What do you find to be the most challenging thing about working with children?

What activities do you enjoy doing with children?

What type of discipline do you believe in and why?

What is your worst childcare experience and how did you handle it?

What do you enjoy most about working with children?

Childcare Activities - Part 2

If an infant begins crying and continues to cry, what do you check for?

How long would you allow a one-year-old you just put to bed, cry, before returning to check on them?

What’s your primary responsibility with a two-year-old?

If a toddler becomes extremely upset either when the parents leave or in general, what would you do?

How would you handle a child who refuses to eat?

Childcare Activities - Part 3

What type of educational games might you play with a five-year-old?

If a sibling altercation occurs, what do you do?

What types of television shows are appropriate for an eight-year-old?

What would you do if you were giving a child a bath and someone knocked at the door?

Please list the 3 most important concerns when preparing a bath:

Emergency Situations - Part 1

Describe any childcare emergency situation you may have had to handle:

Did you call 911?

Did you perform CPR?

Did you perform the Heimlich Maneuver?

What would you do if a child you are caring for develops a fever?

What’s the first thing you would do if a child’s hand is severely burned?

Emergency Situations - Part 2

If a two-year old begins choking and is coughing violently, what do you do?

If that child isn’t coughing or breathing what do you do?

A child has fallen from a balcony and is crying and in pain. What should you do first? What should you do next?

Once you submit your application, please keep an eye on the email attached to this account for the NEXT STEPS email.

Childcare References

Reference #1

Family Name

Phone Number

Email Address:

Please list the names and ages of child(ren) during the time you cared for them:

How many months/years did you babysit the child(ren)?

How often did you babysit the child(ren)?

What lengths of time did you usually babysit the child(ren)?

What were your main responsibilities while babysitting?

Reference #2

Family Name

Phone Number

Email Address:

Please list the names and ages of child(ren) during the time you cared for them:

How many months/years did you babysit the child(ren)?

How often did you babysit the child(ren)

What lengths of time did you usually babysit the child(ren)?

What were your main responsibilities while babysitting?

Reference #3

Family Name

Phone Number

Email Address:

Please list the names and ages of child(ren) during the time you cared for them:

How many months/years did you babysit the child(ren)?

How often did you babysit the child(ren)?

What lengths of time did you usually babysit the child(ren)?

What were your main responsibilities while babysitting?

Personal References

Personal Reference #1

Name

Phone

Email

Personal Reference #2

Name

Phone

Email

Employer References (optional)

Reference #1

Name of company:

Name of Supervisor:

Phone Number:

Email Address:

Dates of Employment:

Position and Title:

Reference #2

Name of company:

Name of Supervisor:

Phone Number:

Email Address:

Dates of Employment:

Position and Title:

Sitter Application

Permanent Address

(can not be a school address)

Local Address

(may be a school address)

Reference #1

Reference #2

Reference #3

Personal Reference #1

Personal Reference #2

Reference #1

Reference #2