Nanny/Caregiver - New Candidate Application or Registration

Create a User Name and password
User name*
Required: Please enter your user name

At Least 6 characters
(no spaces)
Password*

Confirm*
I agree to a background check* yes no
Required: Please enter your background check status.
Contact Information
First name*
Last name*
Date of Birth*
(date, month, 4 digit year)
Required: Please enter your first name.
Phone*
E-mail address*
Street address*
City*
State*
Zip*
How were you referred to CitiNannies.net?
Do you have a referral code?
For the purpose of authenticating your identity as the registrant of this profile, please answer the following question:
What do the 7th digit and 8th digit of your Social Security Number add up to?*


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By checking this box and submitting my information through your system I agree and acknowledge that the information is truthful and accurate. Furthermore, I authorize that the information I provide may be processed through a third party verification partner to confirm the accuracy of the information submitted. I also agree to the terms and conditions of the site user agreement and I agree that I am at least 18 years or older.
WARNING: Be honest on your application. If you intentionally misrepresent yourself and/or a convicted sex crimes predator, be aware that you could be guilty of Fraud and subject to civil/criminal penalties under U.S. federal and state law. Title 18, Section 1343 of the U.S. Code authorizes fines of up to $250,000 and jail sentences of up to five years for each offense. CitiNannies reserves the right to report violators to law enforcement authorities and seek prosecution or civil redress to the fullest extent of the law.