Register for a Nanny:

Please complete the form below and we will call you back:

Alternatively contact us, using any of the following:

Telephone: - 01636 830898

Mobile: - 07929 982618

Fax: - 01636 830300

QUESTIONS FOR PARENTS REQUIRING A NANNY
Name*
Fathers occupation
Mothers occupation
Address 1:
Address 2:
Town:
County:
Postcode:
Telephone numbers
Daytime*
Evening
Mobile
E-mail
Fax
 
Number of children
Boys
Name:
Age(s)
Girls
Name:
Age(s)
Your requirements
Please tick
Full time nanny
Part time nanny
Weekend nanny
Maternity nurse
Mothers help
Additional requirements
Hours of work:
No of days per week required:
Rate of pay offered:
Days required:
Other info
(please tick)
Live-in
Live-out
Daily
Permanent
Temporary
Non-smoker
 
Duties you require from your carer:

Additional information
Comencement date:



Type of accomodation for live-in help:




 

Any other benefits offered:
Must be driver?
Yes

Must be car owner?
Yes

Car supplied with job?
Yes

Petrol allowance ?
Yes

 
Have you or any other adults in your household area been convicted of a criminal offence ?
 
Yes
If yes, please give details:


 

Are there any people with learning/physical disabilities living in your household ?
 
Yes
If yes, please give details:

 

Are you currently expecting a baby ?
 
Yes
If yes, please give details of when:

 

Do you have household pets ?
 
Yes
If yes, please give details:

 

Please give details of your home - tick as appropriate
Detached
Semi detached
Terrace
Flat

No of bedrooms
No of rooms downstairs excluding kitchen

 
Do you have a playroom?
 
Yes

 
What is the approximate distance from your home to access public transport ie bus or train ?
Distance in miles
 
How did you hear about East Midlands Nannies and au pairs?
recommended Yell.com Search Engine Other
 
I have read and agree with East Midlands Nannies and Au Pairs       terms and  conditions *

 

 
  


Download our Parent Registration Form (PDF)

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