Child Care Needs Survey

MomSub is service that gathers information about you -- a parent looking for child care -- so we can find an ideal match to a provider who is available when and where you need her on a regular basis. We will contact you within 24 hours with details about your caregiver match. We just need you to provide your city, schedule, contact info and any required criteria, so we can facilitate a successful match!

ONLY FILL OUT BELOW IF YOU ARE A PARENT NEEDING CHILD CARE.

If you are a nanny looking for work, complete the form AT THIS LINK: https://www.momsub.com/copy-of-provider-application-1

Basic Information

First name

Last name

Email

Cell Phone Number

Enter your phone number after the +1

Full Address

Street Address

Street Address Line 2

City

State

Zip Code

Additional Information

Enter the ages of your children here, separated by commas:

Are you open to a mother providing care for your children while she is watching her own kids, or a nanny share where you pay less because a nanny watches another family's kids and your children at the same time?

Yes or Maybe, depending on the ages of the additional kids or other factors

No

Where do you want your child care provider to watch your children?

The home of the child

The home of the provider

Either home is fine, depending on the distance or other factors

How far are you willing to travel to a child care provider? Put "Not willing or able to travel..." if you want care in your own home.

My Schedule

How frequently would you like child care to be provided?

Regular schedule every week

Flexible weekly care

Occasional care on certain dates

I need weekly child care on Mondays

I need weekly child care on Tuesdays

I need weekly child care on Wednesdays

I need weekly child care on Thursdays

I need weekly child care on Fridays

I need weekly child care on Saturdays

I need weekly child care on Sundays

What is the date when you want consistent care to start?

List any other details about your child care schedule

Rate

What is the maximum hourly rate you can pay? Any hourly rate less than $16 would be for overnight care or a nanny share with another family's children.

Additional Details

Share your picture

How did you hear about us?

Any additional notes?

I want to receive text or email about my MomSub provider match.

MomSub's matching service includes an interview and background check with your nanny match. Are you also interested in research on multiple candidates, reference reports, interview transcripts and other options for an additional cost?

Yes

Maybe depending on cost

No