ASSURED NANNIES - Families - Registration Form

Why Assured Nannies?

Understanding nannies

Qualifications explained

Registration form

Client Registration Form

Please complete as much of the form as possible so we can fully understand your requirements and ensure only suitable Candidates are put forward for interview.

Personal Details
Name
Address
Postcode
Home Telephone
Mobile Telephone
Email Address
Occupation
Nationality
Religion
Marital Status
Partners Name
Partners Occupation

Please state if either partner works from home	Yes	No
Do you employ a cleaner or any other household staff?	Yes	No
Do you have pets? If yes, please provide details:	Yes	No

Your Children

How many children do you have?

Names and ages of children thechildcarer will be responsible for:

Do any of your children require special understanding or care?

Do any of your children have any dietry requirements?

Your requirements

Required start date

What help do you require (tick all appropriate boxes):

Nanny Mothers Help Maternity Nurse Daily live-in

If a live-in position is required, what accomodation will you provide:

Seperate bedroom only Seperate bedroom and bathroom

Self contained flat

Working hours:

Permanent Full-time Temporary - Weeks required

Part-time - If yes, how many days/hours required:

Have you employed a childcarer before? Yes No

If yes, when and why did they leave?

Is this a sole charge position? Yes No

Do you require an experienced childcarer? Yes No

What is the maximum net salary per week you will offer?

Will you require your childcarer to accompany you overseas?
If yes, please provide the details:

Is a car supplied with the job? Yes No

Will you offer any other benefits?

Do you require your childcarer to:

Hold a driving licence	Yes No
Have use of a car	Yes No
Be a non-smoker	Yes No

What duties would you expect your childcarer to perform:

Nursery duties (children's room(s)/laundry/meals	Yes No
Help with shopping	Yes No
Light housework	Yes No
Full housework	Yes No
School runs	Yes No

Other (please specify):

Please describe your ideal childcarer:

How did you hear about Assured Nannies?

Declaration

By clicking the above box, I confirm that the information provided on the
Client Registration Form is a fair and accurate description of the conditions
of employment and the duties expected. I have read and accepted the
terms and conditions of Assured Nannies.

Once you have completed the above form to the best of your knowledge
please submit the form to Assured Nannies and we will be in contact with
you within two working days - Thank you.

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