Email Address

Contact Number

What is the best time to contact you?
AMAfternoonPMAnytime

Address

City

Post Code

What type of childcare are you looking for?
NannyMothers HelpNanny HousekeeperMaternity NurseAfterschool HelpBabysitterOther

Days and hours of work required

Please specify the type of work
Part TimeFull TimeLive InLive OutTemps

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 qualificationNanny is energetic and sportyNanny is a good cookNanny is calm and patientHas at least 2 years child care experienceNanny is strict and good at planningNanny loves dogsNanny loves arts and craftsNanny is able to help with homeworkNanny 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
SingleMarriedSeperatedWidowedDivorcedCo-Habitating

Please provide Names, Date of Birth and Gender of children in your family

Do they attend
NurseryPlay GroupSchoolOther

Other

Known illnesses or allergies

Special dietary needs

Children's hobbies - for example. Swimming, Music lessons, sport activities, other etc

Do you have pets?
YesNo

Do you employ other domestic staff?
YesNo

If Yes, please specify

Are there any other languages spoken at home?
YesNo

If Yes, please specify

What is your local transport station

Salary offered (per week net)

Additional babysitting?
YesNo

Are they required to travel with your family?
YesNo

Do you need a driver?
YesNo

Is a car provided?
YesNo

Will the person have use of a car?
YesNo

Do they need to be able to swim?
YesNo

Would an Ofsted registered nanny be
EssentialPreferredDon't Mind

Is a non-smoker
EssentialPreferredUnnecessary

Please provide a brief description of duties

If residential, will they have their own
RoomBathroomTV in BedroomSeparate 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?
YesNo

If Yes, please specify

How did you hear about Nannies Plus Us?

Declaration I agree to Bligh Group 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.
YesNo

I agree to Bligh Group 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 Us
YesNo