Join our Team Interested in joining the Rested team? Apply Now Night Nurse Application Legal Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country How long have you been at your current address? * Previous address if less than four years at current address? Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number * (###) ### #### Date of Birth * MM DD YYYY Previous Employer? * May we contact them? * Yes No Reason for leaving current position? * Employer Phone Number (###) ### #### How many years of experience do you have caring for newborns? * What is the age of the youngest baby you have cared for? How long did you care for this baby? * Have you previously worked with a Night Nurse Agency? * Yes No Do you have formal health care experience? If so, please describe. Please list a few reasons that you are interested in being a night nurse? * What do you love about newborn care? * Reference * (No family members please) First Name Last Name Reference Email * Phone Number * (###) ### #### Reference * (No family members please) First Name Last Name Reference Email * Phone Number * (###) ### #### Reference * (No family members please) First Name Last Name Reference Email * Reference Number (###) ### #### Are you vaccinated and willing to provide proof of vaccination? * (This includes covid vaccination, Tdap, etc.) Yes No Are you up to date on all vaccines? * Yes No Are you CPR Certified? * Yes No How many nights per week are you interested in working? * Do you consent to a background check? * Yes No Do you have a valid driver’s license? * Yes No Do you have reliable transportation? * Yes No Thanks for applying! While you wait to hear from us, check out Nanny Leaks. It’s a platform we established as part of our commitment to making night nurses feel safe, valued, and respected.
