Babysitter'S Interview Form And Checklist printable pdf download

Babysitter'S Interview Form And Checklist

Babysitter’s Interview

Form and Checklist

Before your first babysitting job for a family, complete this form with the child’s parent or guardian to make sure you

get all the information you need to do your job right. Have the child’s parent or guardian confirm the answers to any

questions that were already asked during your phone interview. Keep track of the questions you’ve asked by checking

off the boxes. You can write down the answers or any notes to yourself in the space provided.

Today’s date: _____________________________________________________

Family Information and Emergency Numbers

☐ What is your family name? Ask the child's parent or guardian to confirm the spelling.

__________________________________________________________________________________

☐ What is your home phone number? ________________________________________________________

☐ What is your home address? _____________________________________________________________

__________________________________________________________________________________

☐ What is your e-mail address? _____________________________________________________________

☐ What is the nearest major intersection to your home (ask the child’s parent or guardian to provide directions if

the family lives in a rural area)?___________________________________________________________

__________________________________________________________________________________

☐ What is your mobile phone number? _______________________________________________________

☐ At what phone number can I reach you during my babysitting shift? _________________________________

☐ What is the name and phone number of an adult who can make decisions if you cannot be reached?

__________________________________________________________________________________

☐ Is there a neighbour or trusted adult nearby who I can call in an emergency?

__________________________________________________________________________________

Babysitter'S Interview Form And Checklist