Full Name
Email Address
Contact Number
What is the best time to contact you? AM Afternoon PM Anytime
Address
City
Post Code
What type of childcare are you looking for? Nanny Mothers Help Nanny Housekeeper Maternity Nurse Afterschool Help Babysitter Other
Days and hours of work required
Please specify the type of work Part Time Full Time Live In Live Out Temps
All our nannies are suitably vetted, loving and trustworthy. Please find below a menu of attributes that other clients value most. Please choose three from this list Holds a childcare qualification Nanny is energetic and sporty Nanny is a good cook Nanny is calm and patient Has at least 2 years child care experience Nanny is strict and good at planning Nanny loves dogs Nanny loves arts and crafts Nanny is able to help with homework Nanny is willing to stay late and work overtime
Preferred Start Date
If Temp please specify End date
Occupation of Mother and Father
Nationality of Mother and Father
Religion of Mother and Father
Marital Status Single Married Seperated Widowed Divorced Co-Habitating
Please provide Names, Date of Birth and Gender of children in your family
Do they attend Nursery Play Group School Other
Other
Known illnesses or allergies
Special dietary needs
Children's hobbies - for example. Swimming, Music lessons, sport activities, other etc
Do you have pets? Yes No
Do you employ other domestic staff? Yes No
If Yes, please specify
Are there any other languages spoken at home? Yes No
If Yes, please specify
What is your local transport station
Salary offered (per week net)
Additional babysitting? Yes No
Are they required to travel with your family? Yes No
Do you need a driver? Yes No
Is a car provided? Yes No
Will the person have use of a car? Yes No
Do they need to be able to swim? Yes No
Would an Ofsted registered nanny be Essential Preferred Don't Mind
Is a non-smoker Essential Preferred Unnecessary
Please provide a brief description of duties
If residential, will they have their own Room Bathroom TV in Bedroom Separate accomodation
If residential,please let us have any other information about your family and staff requirements that you think will be useful for us to know?
Paid Holiday in addition to statutory holidays (days annually)
Please let us have any other information about your family and staff requirements that you think would be useful for us to know?
Have you used any of our services before? Yes No
If Yes, please specify
How did you hear about Nannies Plus Us?
Declaration I agree to Simply One Stop Ltd TA Nannies Plus Us using my personal data in line with their Privacy Notice to contact me about the services they and their sister company Bligh Group Ltd provide. Yes No
I agree to Simply One Stop Ltd TA Nannies Plus Us using my personal data in line with their Privacy Notice to provide me with services requested, if you do not agree we may not be able to help you with your requirements. I hereby certify that the information given in this form is correct and that I agree to the Terms and Conditions set out by Nannies Plus UsYes No
