Sunrise Nanny Agency Families requiring a Nanny

Mother/Partner/Guardian name *

Father/Partner/Guardian name *

Address *

E-mail address *

Mobile number *

Home telephone number *

Child 1: name, D.O.B, hobbies and interests *

Child 2: name, D.O.B, hobbies and interests *

Child 3: name, D.O.B, hobbies and interests *

Child 4: name, D.O.B, hobbies and interests *

Do you have a baby due? *

Yes

No

Do any of your children have special needs, medical problems or allergies? *

Yes

No

If any of your children have special needs, medical problems or allergies please provide details below: *

What language(s) do the family speak? *

What religion (if any) does the family believe in? *

Are you looking for a:- *

Is the position:- *

Permanent

Temporary

Is the position:- *

Full Time

Part Time

Is the position:- *

Live in

Live out

Is the position:- *

Sole Charge

Shared Care

Both

What days/hours do you require childcare? *

Are the hours likely to change? *

Yes

No

How long do you require the childcare for? *

Start date: *

Finish date: *

The roles and responsibilities of my Nanny/Mothers Help will be: *

Do you require the Nanny to drive? *

Yes

No

Do you require the Nanny to swim? *

Yes

No

Do you require the Nanny to travel abroad? *

Yes

No

Do you require the Nanny to be OFSTED registered? *

Yes

No

not sure require more information

Would you consider a Nanny bringing her own child to work? *

Yes

No

Maybe

Do you require the Nanny to complete light housework? *

Yes

No

Do you require the Nanny to cook? *

Yes

No

Do you have pets? *

Yes

No

Do you require the Nanny to care for the pet(s)? *

Yes

No

Have you employed a Nanny before? *

Yes

No

If 'yes', please provide previous Nanny's details: *

What salary will you be offering the Nanny? *

If employing a live-in Nanny, please describe Nanny's accommodation: *

Please use this space to provide any additional information which will help us place the right Nanny for your family: *

How did you hear about Sunrise Nanny Agency? *

Are you interested in registering with our babysitting agency? *

Do you know any other families who may be interested in our agencies? *

I give permission for my details to be provided to potential Nannies: *

Yes

No

I will always follow Sunrise Nanny Agency's Terms and Conditions: *

Yes

No

Print Name *

Date *