Violet Elizabeth Nannies

Parent Application Form

Please fill out the below form to find your perfect childcarer.

Title
Family Name
First Name
Address 1
Address 2
Address 3
Postcode
Home Tel. Number
Office Tel. Number
Fax Number
Email
Mother's Occupation
Father's Occupation
Nationality
Nationality
Age
Age
Child's Name
DOB
Gender
Child's Name
DOB
Gender
Child's Name
DOB
Gender
Child's Name
DOB
Gender

Is there any physically/mentally disadvantaged person in the household?
Do any of your children have special needs or specific learning difficulties?
Help Required
Hours of work required?
Days Required
Qualification Required
Live in
Will the applicant have sole charge of children
for long periods
Is there a new baby expected? If so, when?
Would the applicant be expected to deal with him/her?
Please give details of any household staff
currently employed
Do you have pets?
If yes please give details...
What are the hobbies/interests within the family?
What type of home do you have?
Do you have any special facilities (Tennis Court, Swimming Pool, etc)?
What accommodation is available if live-in help required?
Would you require a car driver?
Is there a car available for the nanny?
What duties will be required?
 
Childcare
 
Children's Cooking
 
Family Cooking
 
Driving Children
 
Light Housework
 
Shopping
 
Children's Ironing
 
Family Ironing
Salary Offered
Preferred Start Date
Duration of Employment
When you are away on holiday/business will the nanny be expected to travel with with you?
Have you previously employed anyone to help with your children?
If 'Yes' how long were they employed by you?
Are you happy for your telephone number to be given to prospective applicants?
Are you happy for Violet Elizabeth Nannies to advertise this position on your behalf?
How did you hear of Violet Elizabeth Nannies?
Other - please specify:
Please give name and address of an unrelated person who we may contact to obtain a family reference:
In what capacity do you know this person?
Other - please specify:
Enter the security code below exactly as it appears.
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