• You have been asked to fill out this form to help us get the best picture possible of your previous caregiver/teacher. We would appreciate honest responses to the questions asked below. This information ensures that we can provide a complete picture to our clients and allow them to choose the best caregiver for their families.

    Please also note that all references will be kept confidential, and we will not share the answers given with the caregiver whom you are providing the reference for in this form. However, you are welcome to share this form with your former caregiver directly if you wish to provide them with a written reference to remain in their records.

    Again we thank you for taking the time to fill out this form.

    • Nanny/Teacher Assessment
    • Childcare

      Did they perform the following tasks?(Please mark yes or no and give each category a number rating; 1-Poor – 5-Excellent)
    • Household Management

      Did they perform the following tasks?(Please mark yes or no and give each category a number rating; 1-Poor – 5-Excellent)
    • Skill Assessment
    • In the Job
    • Contact Information
    • Finalize
    • Nanny Posse is very grateful for your participation in this reference procedure, which will remain entirely confidential. However, by submitting this form, you agree to the disclosure of the contents of this reference, excluding all personal contact details and identifying information, to a third party.

    • Clear
    • Should be Empty: