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Nanny Reference Request Form Template

Effortlessly validate caregiver qualifications with ease

Finding a trustworthy nanny can be daunting when you're unsure of their background. This template is designed for parents and guardians seeking to gather essential references on potential caregivers, ensuring safety and peace of mind. With our nanny reference request form, you can easily collect information from previous employers, enhance your hiring process, and streamline your communication, all while ensuring WCAG-aligned accessibility. Start using our live template today to make informed decisions for your family's care.

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Your full name
Your relationship to the candidate
Direct supervisor
Employer/Parent
Colleague
HR representative
Teacher/Mentor
Family client
Prefer not to say
Other
Please Specify:
Your email
Your phone number
May we contact you to verify this reference?
Yes
No
Candidate full name
Employment start date
Employment end date (leave blank if current)
Primary duties performed
Please Specify:
Reason for employment ending
Please Specify:
Would you rehire this candidate?
Yes
No
Not sure
Reliability and punctuality
Poor
Fair
Good
Very good
Excellent
Communication with parents/guardians
Poor
Fair
Good
Very good
Excellent
Rapport with children
Poor
Fair
Good
Very good
Excellent
Safety awareness and judgment
Poor
Fair
Good
Very good
Excellent
Initiative and problem solving
Poor
Fair
Good
Very good
Excellent
How often was the candidate late or absent without notice?
Never
Rarely
Sometimes
Often
Always
Were there any concerns about conduct, safety, or trust?
Yes
No
Prefer not to say
If relevant, please describe any concerns or provide context
How likely are you to recommend this candidate for a nanny position?
0 Not at all likely
1
2
3
4
5 Extremely likely
Candidate's key strengths
Areas for development
May we share your feedback with the candidate if requested?
Yes
No
Prefer not to say
Your name as signature
Date signed
I confirm the information provided is accurate to the best of my knowledge.
Yes
No
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Paper art illustration depicting a nanny reference request form template for FormCreatorAI article

When to use this form

Use this form when you are close to hiring a caregiver and need honest, structured feedback from past employers. For example, you are choosing between two finalists for a live-out role, starting a nanny share, or vetting an occasional sitter after a trial shift. Agencies can send it at the shortlisting stage to speed due diligence. Parents can pair it with the Babysitter and nanny application form to capture work history, certifications, and references in one flow. If you also register families or sitters for ad-hoc jobs, add a Babysitting registration form. For more formal employment hires, use the Employee reference check form to keep criteria consistent across roles. Clear, comparable answers help you reduce risk, spot red flags early, and make a confident offer.

Must Ask Nanny Reference Request Questions

  1. How long did the nanny work for you, in what arrangement, and what were their regular hours?

    Tenure and schedule confirm stability and fit for your needs (full-time, part-time, live-in). Specific dates reduce guesswork and help you match availability for school runs, overnights, or travel.

  2. How many children did they care for, what were the ages, and which daily duties did they handle?

    Ages and scope show experience with infants, toddlers, or multiples. Duties like meals, homework, and driving reveal skills you can align with your job description.

  3. Can you describe a time they handled an emergency, conflict, or last-minute change, and what was the outcome?

    Real examples test judgment, safety, and calm under pressure. You want details on actions taken and how they communicated with parents.

  4. How would you rate their reliability and communication, with examples of punctuality, notice, and follow-through?

    Reliability predicts day-to-day success and reduces no-shows. Concrete examples help you screen for patterns, not one-off events.

  5. Would you rehire this person, and why or why not?

    A rehire answer sums up performance, trust, and fit. If you also source caregivers through staff referrals, keep criteria aligned with your Employee referral form.

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