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Becoming a River City Sitter Application

Pleae fill out the sitter application below.  All information submitted is secure and encrypted indicated by the lock in your browser window. Please include email addresses as an additional way to contact your references.

Your Profile 
Your First Name Your Last Name
Street Address Address 2
City State Zipcode
Daytime Phone ( ) -    
Evening Phone ( ) -    
Cell Phone Number ( ) -    
E-mail Address    
Password will be used for logging into River City Sitters upon application approval. (Maxium lenth 10 characters)

Select what location you are available to babysit:
Richmond, VA and surrounding areas

Additional Information 
Current Age:     Date of Birth:
Do you smoke? Please note: childcare is a non-smoking industry. Yes No
Do you have a valid driver's license? Yes No
Driver's License Number: State Issued:
Do you drive and own a dependable car? Yes No
Car Details: Make Model Year of Car
Auto Insurance Company and Policy Number:
Are you CPR and First Aid certified? If so, date of certification:
Can you swim? Yes No
Do you feel comfortable taking children swimming? Yes No
Do you feel comfortable transporting children in your car? Yes No
What about the parent's car? Yes No
Do you have at least two years of child care experience? Yes No

Current Occupation
Education (Schools, dates, and degrees earned)
Are you comfortable around animals?

Are you currently employed? May we contact current employer?

Do you have children?

Do you have any medical concerns?
Please explain childcare experience. Include supervisor name, dates, and location.
Do you have experience with infants? If so, please explain.

Please provide at least 3 childcare references. Include name, phone number, and address
Please provide at least 2 other references that have known you for at least 3 years and are not relatives.
Include name, phone number, and address
Please list your preferred schedule.
Have you ever been arrested? If so, please explain.
Explain why you want to work with River City Sitters?
It is very important that our sitters are reliable, responsible, and trustworthy.
Please explain how you are all of these things.
If you were with a child that was upset, how would you handle that situation?
How did you hear about us?
Your Profile Photo

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