Babysitter Application — Block Island Babysitters

Name

First Name

Last Name

Age

Phone

(###)

###

####

Email Address

Please list your Childcare experience

Do you already have housing on Block Island?

Yes

Home Address & Block Island Address

Are you CPR certified?

Yes

Please provide your date of arrival to Block Island and your date of departure:

Are you a U.S. Citizen?

Yes

3 Childcare and 1 Personal/Other work References: Names and Phone Numbers

What age children are you comfortable babysitting and how many children do you feel comfortable watching by yourself?

What is your highest level of Education?

Do you have access to a car on a regular basis? If not, how do you plan on arriving to babysitting jobs?

Do you have any other jobs on the island?

What days and hours are you available?

If applicable, please describe any experience you have with infants or special needs children

Do you have any medical conditions that could hinder your abilities to perform any babysitting duties?