EmailMe Form - Client Registration Form

Your Family

Name *

Email *

Telephone number (Please include country code) *

Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

Please give the town/country where the nanny will be based, if this is a different location to your address.

What is/are your family's nationality/nationalities?

What is/are the main language/languages spoken in your home?

Your child/children: Girls ages

Your child/children: Boys ages

Do any of your children have special needs/requirements? If yes, please give details.

Do you have any household pets? If yes, please give details here.

Your Requirements

Which month/date would you like your childcare provider to start working with you?

What type of childcare do you require? *

Nanny - Full time (More than 30 hours)

Nanny - Part time (Less than 30 hours)

Maternity Nurse (24/7 cover for a new born)

Temporary Nanny (Needed for less than 6 months)

Tutor/Governess/Governor (Hours to be discussed)

Other*

*If 'Other', please give details....

If you require a Temporary Nanny or a Maternity Nurse, please give details of the dates you will need then

For example: From mid October to mid December. The dates do not need to be exact and details can be discussed at a later stage.

What are the required DAYS of duty per WEEK?

*If 'Other', please give details...

What are the required HOURS of duty, per DAY?

Do you require someone to live in or live out (daily)? *

Live in nanny - accommodation provided

Daily nanny - no accommodation provided

Open to both options

If require someone to live in, please give a description of the living conditions/accommodation that you will be providing for the nanny

For example: Own studio apartment five minutes from our house, Own bedroom with private bathroom, Own bedroom with shared bathroom with the children, Bedroom on separate floor with own external entrance door etc...

Is this a sole charge position?

Full sole charge

Mostly sole charge but some shared care

50/50 sole charge/shared care

Rarely sole charge/Mostly shared care/Mother's Help

Care shared with other staff members

Is regular babysitting required?

Yes, regularly/every week

Only occasionally

No

If babysitting is required regularly/every week, please give details. For Example how many evenings per week?

We will include this in the overall job description

Are overnight stays required (Proxy parenting when parents are away)?

Yes, regularly

Only very occasionally

No

If overnight stays are required regularly, please give details. For example approx. how often/for how many nights per month?

Do you require someone who can travel with your family?

Yes, regularly

Yes, occasionally

No, never required to travel

If you travel regularly and will be expecting your childcare provider to travel with you, please give details.

For example: How often do you travel, how long are you usually away for, do you travel to the same destinations frequently (perhaps for work or a second home), what is the accommodation situation when you are travelling etc...

Do you require someone who has a driver's license?

Yes, essential

No, not needed

No, but preferred

Are you supplying a car for the nanny?

Yes, on duty only

Yes, on and off duty

No

Please give additional information about your requirements. For example: Do you require some one who can swim, ski, speak a language, cook etc... What will be their main duties, do you require any household chores etc...

PLEASE NOTE: You can upload a job description using the 'add file' link below if you prefer.

File Upload

If you wish to send us a photograph of your family or a job description in your own words then please feel free to include this here.

We will only pass these on to genuine candidates for the position and it can help in finding a good personality match.

If you would prefer to wait until a later stage, please then just ignore this section.