* Required Location - Cincinnati
* *
First Last
Street Address
Address Line 2
* * *
City State Zip Code
Contact Information
Mobile Phone (required) Email
* (this is your log in ID)*
Mobile phone carrier/provider *
Phone Number Work Phone
Personal Information
Birth date Gender
* *
What is your marital status? Do you have any children of your own?
* Yes  No*
Do you smoke? Do you have any pets?
Yes  No* Yes  No
Do you have, or have you previously had any allergies? Please list them below.
Do you have any other health issues? Please list any below.
What are the best times to contact you regarding this application? Please list optimal contact times as well as any times you will be unavailable.*
Do you have a car to get to work? Are you willing to transport children in your vehicle?
Yes No* Yes No*
Please list year, make, model of your current vehicle.*
What high school did you attend? What year did you graduate?
Are you currently enrolled in or have you completed any part of college? If you are currently attending college, are you full or part-time?
If you attended college, what school did you attend? What is/was your field of study?
Are you currently First Aid certified? Are you currently CPR certified?
Yes  No* Yes  No*
Do you speak any languages other than English? If you speak language(s) other than English, which ones?
Yes  No
How long have you been living in the state of Ohio? Have you had a background check completed in the last 3 months?
* Yes  No*
Have you ever been arrested? If so, please provide details below.*
Have you ever been convicted of a felony or misdemeanor? If so, please provide details below.*
Have you ever been convicted of Driving Under the Influence of Drugs or Alcohol (DUI) or any other drug / alcohol related activity? Including underage drinking. If so, please provide details below.*
How did you hear about us?*
Which Service Are You Applying For?
Child Sitting Tutoring
*one of the above is required
No infants
No cats
No dogs