Address:
Add 1
Add 2
Town/City:
County: London
Other, please state:
Postcode:
Country: UK
Other, please state:
Nearest
tube/train station:
Occupations:
Mother
Father
Nationality: British
Other, please state
Religion (If Practicing)
Telephone (Daytime)
Mobile
Fax:
Telephone
(Evening)
E-mail
Please put your e-mail address - we will not automatically receive
it with the form!
When
would you like the nanny to start? ASAP
Date:
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Are
you looking for a:
Special Needs Nanny
Mother's help
Carer
(over 12's)
Babysitter
Other, please state
Will the nanny/carer
be: Daily
Live-in
Either
If live-in, please give accommodation details:
Own room
Own room
& bathroom
Separate accommodation
Own room share bathroom with the children
Other accommodation details:
Is the position:
Full time:
or Part time:
Permanent:
or Temporary:
If Temporary dates from:
to:
Any additional details regarding dates:
Hours
of work:
From:
a.m. to
p.m.
Other:
Days of Work:
Monday to Friday
Monday to Friday
+ occasional weekends
Other:
Personality
wise, what would your ideal nanny/carer be like?
Is the position
sole charge?
Yes:
No:
Sometimes
Mostly
Do
you need a driver?
Essential
Preferable
Not necessary
Annual
Paid Holidays:
20 days
(statutory, pro rata for part-time)
Other,
please state
Is a non-smoker:
Essential
Preferable
Not necessary
Will
you take the nanny on family holidays?
Yes
No
Possibly
Any
perks/benefits
How many evenings
babysitting per week?
Is this:
Included in wage
Paid as an extra
If paid as extra,
what hourly rate?
£
/hour
Is the nanny expected
to work at weekends?
No
Yes
If yes please give details:
Do you have any
pets? No
Yes
If yes please
give details:
Is
a male carer suitable/appropriate for this position?
Yes
No
Preferable
Essential
Would
you describe your household as:
Formal
Informal
Please
describe a typical days routine/duties required by the nanny/carer:
Is
there any specific experience you would like the nanny/carer to have?
Please provide
Names and Ages of your children
Please give as
much information about your child/children as possible. If your child
has special needs please include as much specific information as possible,
e.g. medication, therapies you may be using, whether your child has
mobility, is vocal etc. (Please feel free to send additional information
by e-mail or post).
Are there any specific activities your child/children enjoy
Any
additional information that you think would be helpful that doesn't
fit into the above categories.
It
is really helpful if we have a photo of your child/family to show
possible nannies/carers.
(Photos are no longer displayed on our website & are for office use only).
Please
e-mail this separately to: info@snapchildcare.co.uk
or send in the post
(we will safely return all photos upon request).
If
you are planning to go away for holidays etc., please state dates:
How did you hear
about SNAP! Childcare?
By submitting
this form, I confirm I have read and agree to abide by the terms
and conditions of SNAP! Childcare Limited. I understand that the
introductory fee is 12% of the employees gross annual wage / or £90
per week for temporary placements. All fees subject to VAT.
Name :
Date:
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Name of person responsible for paying placement fees, if different
from above :
I
confirm I have read and agree to abide by the terms
and conditions of SNAP! Childcare Limited
Name :
Date:
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