Application for Newborn Care Provider Let Mommy Sleep is complete team Nurses (LPN/RN), Newborn Care Providers, Postpartum Doulas and Twins & Multiples Experts.
We’ve been supporting newborns and their parents since 2010 and offer flexible schedules, continuing education , a wonderful team to support you, and the chance to really make a difference by educating and caring for newborns and their families.
Please complete an application below or send your resume and references to the appropriate email below:
chicago@letmommysleep.com
APPLICATION NOTE: This form is intended for use in evaluating your qualifications for engagement as an independent contractor to provide Newborn care services on behalf of the LLC. This is not an employment contract. Please answer all applicable questions completely and accurately. Any false or misleading statements during the interview process and on this form are grounds for terminating the process or, if discovered after the engagement begins, will be grounds for terminating the relationship. All qualified applicants will receive consideration and will be treated throughout their relationship with the LLC without regard to race, color, religion, sex, national origin, age, disability, or any other protected class status under applicable law. Additional testing for the presence of illegal drugs in your body may be required prior to engagement.
Personal Information How did you hear about our services?*
Why are you interested in working for us?*
Availability Due to the nature of the business, no guarantee can be made as to the schedule of amount of hours worked.
In what geographical areas are you available to work?*
What nights of the week are you able to work?*
How many nights are you able to work?*
Educational/Training Certification Please include education, certificates and clinical license number:*
Any other newborn or postpartum care experience you can share?*
Work History Please provide your Three (3) previous employers information, including your employer name and address telephone number and contact person; dates of employment and name of supervisor and duties; salary and reasons for leaving.
Tuberculosis (TB) Test & Vaccinations Please provide proof of all vaccinations.
Professional Newborn and Childcare References Please include telephone numbers, emails, nature of relationship, number of years known. As we will contact these references, please notify them in advance.
Name, Phone Number and Email Required:
CERTIFICATION AND RELEASE: I hereby certify that I have read and understand the applicant notice on page one and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts in this application may result in rejection of my application or discharge during engagement. I authorize the LLC and/or its authorized agents including consumer-reporting bureaus, to verify any information contained herein, including any criminal history or motor vehicle driving records. I authorize all persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons from any liability for any damage whatsoever for issuing this information. I release this LLC from any liability which might result from any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during engagement. If LLC policy requires, I am willing to submit to drug testing to detect the presence of any illegal drugs prior to and during any engagement.
I UNDERSTAND THAT THIS APPLICATION IS NOT A CONTRACT OF EMPLOYMENT OR ENGAGEMENT. I ALSO UNDERSTAND THAT IF HIRED, REGARDLESS OF ANY ORAL REPRESENTATIONS TO THE CONTRARY, THE ENGAGEMENT RELATIONSHIP BETWEEN MYSELF AND THE LLC IS ONLY SUBJECT TO THE TERMS CONTAINED A SEPARATE AGREEMENT ENTERED BETWEEN US AND THE CONTINUATION OR TERMINATION OF THAT RELATIONSHIP SHALL BE AS STATED IN SUCH AGREEMENT.
* fields are required.
Submit
