Rivera HouseholdSitter application

We're so glad you're applying.

Rivera Household is looking for somebody to help look after Sam. This application goes to that household and nobody else; they will be in touch directly.

This is a few short pages: about you, your experience, and what you're comfortable with. Your answers save as you go, so you can stop and pick it up later.

The household runs on Rookery, which is where you'll clock in, write the day up, and see your hours if you're hired. Nothing you write here leaves this household.

~5 minto finish
11short pages

1 · Personal

First, the basics.

    Drag the pin if it isn't quite right.

    2 · Emergency contact

    If we ever need to reach someone for you.

    3 · Experience

    Tell us about your childcare experience.

    Experience with toddlers (ages 2–3)?

    Previous position 1

    Previous position 2

    4 · Availability

    When are you generally free?

    Hours per day, like "9-3", "afternoons", or "not available".

    5 · Certifications

    Any safety training?

    CPR certified?
    First Aid certified?

    Background checks (optional)

    TrustLine is California's registry of nannies and babysitters. The family can check it for free.
    TrustLine registered?

    6 · Logistics

    Rate and schedule.

    7 · Driving & health

    A few just-in-case details.

    Valid driver's license?
    Auto insurance?
    Willing to drive our child if ever asked?

    8 · References

    Two references, please.

    Non-family, please: previous employers, teachers, coaches all work.

    Reference 1

    Reference 2

    9 · Day to day

    What are you comfortable with?

    Diapering / potty training
    Naps & quiet-time routine
    Snacks & simple meal prep
    Leading active & engaged play
    Working independently while parents are on calls nearby
    Comfortable with pets

    10 · In your words

    Tell us a little about yourself.

    A few sentences: who you are, and why this role interests you.

    11 · Agreement

    Last page: the fine print.

    Consent to a background check?

    Standard for childcare roles. We will tell you which service we use before anything is run.

    Photo ID

    A quick photo of your driver's license or other ID. *
    Why we ask: it's part of keeping Sam safe. Your ID lives in our family's private, encrypted vault, never shared, never public.

    Please read these properly. They are short, and they say what they do not cover as well as what they do. Your copy of each is yours to keep, as signed.

    Keeping things private

    You are going to be in our home and around Sam. This is what we are asking you to keep private, and what we are not.

    Our family's private life stays private: the children, their routine, where they go, our home, and who comes and goes. Please do not post it, send it on, or discuss it outside the household, and that holds after you stop working with us.

    Photographs of Sam are for us, and they belong in the app. Please do not put them anywhere else, including a private account or a message to a friend, and please do not put them on social media at all. If you would like a photograph for yourself, ask us. The answer will usually be yes.

    How long this lasts

    For our family's private life and for Sam, for as long as it stays private. A young child cannot agree to being written about later, so we are holding that for them.

    For anything else we have asked you to keep private, until we tell you it is no longer private. If you are ever unsure whether something is still covered, ask us and we will tell you.

    What this does not do

    Some things are yours no matter what you sign here, and we want them written down rather than assumed.

    • If you ever think a child is being hurt or is unsafe, tell the police, tell child protective services, tell a doctor, tell anyone. Nothing in this document asks you to wait, to check with us first, or to keep quiet. If you are ever unsure, report it. We would rather you were wrong than silent.
    • You can talk about your pay, your hours, and what it is like to work here, with whoever you like. That includes other people who work in homes, and it includes a union. We are not allowed to stop you and we would not want to.
    • You can report or discuss anything you believe is unlawful, including harassment or discrimination, to anyone, including a government agency.
    • You can talk to a lawyer, and you can respond to a subpoena or a court order.
    • You can work for anyone you like, now or later. There is no non-compete here.
    • You can keep your own notes about your own work, your own hours, and anything that happened to you.

    What we are asking you to keep private is the household's private life, and whatever else the household has told you it needs kept private. That is all this is for.

    If something goes wrong

    If you think you have shared something you should not have, tell us. Nobody has ever made a situation better by hiding it, and we would far rather hear it from you.

    Looking after Sam

    Childcare has ordinary risks in it. Children fall over, and they do it while somebody attentive is watching them. We are not asking you to accept blame for an accident and nothing here signs away anything you are entitled to.

    What we are asking is this.

    • Work carefully, and within what you are trained and comfortable to do. If you are not confident about something, say so rather than attempting it. That includes swimming, driving with them, and anything medical.
    • Tell us straight away if something happens, however small it seems. Use the incident report in the app rather than letting it wait until we get home. Telling us early has never once made anything worse.
    • If a doctor is needed, get one first and tell us second. Never delay care to reach us.
    • Follow what is written down about allergies, medicines and routine. If something written down looks wrong, ask before following it.

    What this does not do

    Some things are yours no matter what you sign here, and we want them written down rather than assumed.

    • If you ever think a child is being hurt or is unsafe, tell the police, tell child protective services, tell a doctor, tell anyone. Nothing in this document asks you to wait, to check with us first, or to keep quiet. If you are ever unsure, report it. We would rather you were wrong than silent.
    • You can talk about your pay, your hours, and what it is like to work here, with whoever you like. That includes other people who work in homes, and it includes a union. We are not allowed to stop you and we would not want to.
    • You can report or discuss anything you believe is unlawful, including harassment or discrimination, to anyone, including a government agency.
    • You can talk to a lawyer, and you can respond to a subpoena or a court order.
    • You can work for anyone you like, now or later. There is no non-compete here.
    • You can keep your own notes about your own work, your own hours, and anything that happened to you.

    What we are asking you to keep private is the household's private life, and whatever else the household has told you it needs kept private. That is all this is for.

    We will do our part: keep the emergency card current, keep the house safe, tell you about anything that changes, and back you up when you make a judgement call in good faith.

    Your signature is recorded with the date and time of submission.