Intake form

Name *

Email address *

What type of caregiver are you seeking?

Please select at least one option.

Nanny

Babysitter

Special needs caregiver

Household manager

What are your childcare needs?

Please select at least one option.

Full-time

Part-time

Occasional

After school care

What age group does your child belong to?

What qualities are you looking for in a caregiver?

Please select at least one option.

Compassionate

Experienced

Flexible

Engaging

Reliable

Do you have any specific preferences or requirements?

What is your preferred start date?

How did you hear about us?

Which service or services are you interested in?

Please select at least one option.

Rigorous vetting process

Value-based matching

Ongoing support

Full-time nanny placement (30–50 hrs/wk)

Part-time nanny placement (10–29 hrs/week)

After-school / school-year nanny

Summer / seasonal nanny (1–4 mos)

Newborn care specialist / night nanny

Infant/Toddler development nanny, bilingual, montessori-trained

Nanny-share matching service

Travel & vacation nanny placement

Additional questions or comments

Building Trust Boulder