Lil' Ones Nanny Agency

Main contact; Name:
Email address:
Address:
Postcode:
Home phone number:
Mobile phone number:
Work phone number/fax number
What sort of carer do you require (please check all appropriate boxes)	Live In Live Out Full Time Part Time Nanny Nannyshare After school carer Aupair Mothers helper Other
Which hours/days do you require a carer?
FAMILY DETAILS. Parent/caregiver 1. Full name:
Parent/caregiver 1. Occupation:
Parent/caregiver 2. Full name:
Parent/caregiver 2. Occupation:
Languages spoken at home:
Other adults living at this address:
Religion (if relevant):
Children - name(s), gender(s), date(s) of birth, school(s) attended.
Special interests and abilities:
Special needs and/or disabilities:
Any other information we need to know?
What are your preferences for the person you seek: (please check all appropriate boxes)	Qualifications essential Qualifications preferred Qualifications not necessary Non smoker Animal lover Swimmer
PLease give us a brief description of the person you seek (e.g mature, reserved, outgoing etc.)
Driving (please check at least one box)	Carer requires drivers license Carer does not require drivers license Carer requires own car Carer will be required to drive manual Carer will be required to drive automatic
Do you have Domestic Workers Compensation Insurance?
Do you employ any other domestic staff? If yes, please provide details:
Conditions of employment (please provide details about how long you require someone, what rate/wage/salary you are offering etc.)
When do you require someone to start?
If you are a seeking an aupair, what sort of accomodation will you offer them? (i.e. own bedroom, own bathroom, seperate entrance etc.)
Nearest public transportation to your house:
Please check the duties you require from a carer (please specify for children only)	Cooking Cleaning Washing Ironing Shopping Petcare Driving Other duties
Do you have any further duties/expectations or preferences for a carer? If so, please give details. The more comprehensive you are, the better fit we will find for you.
When are the best days/hours to contact you?
How did you hear about Lil' Ones Nanny Agency'?

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