Family Registration Form For A Housekeeper

Family Registration Form for a Housekeeper

Personal Details

We offer a 10% discount on the placement fee for new clients, and a 15% discount for returning clients,in return for giving Norma Lewis Domestic Staff Sole Agency for 20 working days Click here for further details of this discount

Would you like this discount * Yes
No

Full name and title *

Address *

Postcode *

Home telephone number *

Mobile number *

Work number

E-mail *

Mother and Fathers Marital Status Single
Married
Divorced
Widowed

Fathers age

Fathers nationality

Fathers religion

Fathers occupation

Mothers age

Mothers nationality

Mothers religion

Mothers occupation

Names, Sex and Ages of Children

Newborn baby due? Yes
No

Do you or your children have any medical conditions, or any other specific special needs? Yes
No

Family Hobbies and Pastimes

Internet Yes
No

Computer games Yes
No

Music Yes
No

Walking Yes
No

Cycling Yes
No

Horseriding Yes
No

Swimming Yes
No

Cinema Yes
No

Reading Yes
No

What sports do your family enjoy

Any other interests or after school activities

Do you have any pets? Yes
No

What are they?

About the job..

Is this position... Live In
Live Out
Either

When do you need a Housekeeper to start?

What is the minimum length of contract?

What is the maximum length of contract?

What will you pay your Housekeeper per week (Net)?

Do you understand that you are liable for Statutory Holiday pay for your Employee?

Do you understand that you are liable for her tax and N.I contributions? Yes
No

Will you accept a smoker? Yes
No

If Yes are there restrictions?

Driving

Do you need a driver? Yes
No

If yes, for what types of journeys?

Will you provide the car? Yes
No

If yes, is the car roadworthy, fully taxed and insured, with a current MOT Yes
No

Is the car Manual
Automatic

May the Housekeeper have use of the car for themselves? Yes
No

NB It is your responsibility to ensure that the House Keeper has the standard of driving you require.

Duties

Do you require your Housekeeper to travel with you? Yes
No

If yes, then only Europe or Worldwide?

Do you require the Housekeeper to help with the pets as part of his/her duties? Yes
No

How?

Housework Yes
No

Cleaning Yes
No

Hoovering / dusting Yes
No

Washing / ironing Yes
No

Bed making / changing Yes
No

Childcare/Playing with children Yes
No

Sole charge Yes
No

Feeding babies Yes
No

Taking to / collecting from school Yes
No

Babysitting Yes
No

Cooking Yes
No

If cooking to what standard, and for how many?

will they be required to work out Family Menus for the week? Yes
No

Will they shop for this food? Yes
No

Will they make appointments for Trades People? Yes
No

Will they supervise this work? Yes
No

How many and which hours / days do you wish your Housekeeper to work?

Please provide a timetable showing a typical days duties of your Housekeeper

Your Home and Area

Where is your home? Village
City Suburb
City Centre

Do you own or rent your home * Own
Rent

Is your home: Detached
Semi Detached
Bungalow
Terraced
Flat

How many bedrooms?

How many bathrooms?

Does it have a garden? Yes
No

Computer / internet facilities? Yes
No

Is it wireless internet Yes
No

Any other facilities?

If a Live-in position, describe your Housekeepers accommodation

May the Housekeeper have friends in your home? Yes
No

How Long Would it Take to Reach the Following by Walking, Bus or Train/Tube?

Local shops

Bus stop

Train / Underground

Main shopping centre

Library

Restaurants

Pub / Bar

Museums

Cafes / Restaurants

Night Clubs

What is your nearest airport and train or tube station

Please describe your family and household - e.g. "we are a friendly but hectic household..."

Would you like any information on First Aid courses for your housekeeper Yes
No

How did you hear about Norma Lewis Domestic Staff? *

Have you registered with any other agencies, and if so which ones?

Terms and Conditions Link

PLEASE ENSURE YOU HAVE READ AND UNDERSTOOD THE "FEES" AND TERMS AND CONDITIONS OF BUSINESS OF NORMA LEWIS DOMESTIC STAFF. (YOU SHOULD KEEP ONE COPY OF THESE FOR YOUR OWN RECORDS). SUBMITTING THIS COMPLETED FAMILY REGISTRATION FORM IN ANY FORMAT TO NORMA LEWIS DOMESTIC STAFF AGENCY SHOWS ACCEPTANCE OF THESE TERMS.

SUBMITTING THIS COMPLETED FAMILY REGISTRATION FORM IN ANY FORMAT TO NORMA LEWIS DOMESTIC STAFF AGENCY SHOWS ACCEPTANCE OF THESE TERMS.

Family Name *

Date *

Home

Important Legal Information For Employers

What Is A Nanny / Mother's Help, Housekeeper And Companion Carer

Testmonials

Families / Jobs Available Now

Applicants Available Now

Useful Contacts And Links

Contact Norma Lewis
Domestic Staff

FOR APPLICANTS

How I Can Help Nannies / Mother's Helps

Application Form for a Nanny / Mother's Help

Application Form for a
Housekeeper

Application Form for a Companion Caregiver

FOR FAMILIES

Family Registration Form for a Housekeeper

Personal Details

Names, Sex and Ages of Children

Family Hobbies and Pastimes

About the job..

Driving

NB It is your responsibility to ensure that the House Keeper has the standard of driving you require.

Duties

Your Home and Area

How Long Would it Take to Reach the Following by Walking, Bus or Train/Tube?

Home Important Legal Information For Employers What Is A Nanny / Mother's Help, Housekeeper And Companion Carer Testmonials Families / Jobs Available Now Applicants Available Now Useful Contacts And Links Contact Norma Lewis Domestic Staff

FOR APPLICANTS

How I Can Help Nannies / Mother's Helps Application Form for a Nanny / Mother's Help Application Form for a Housekeeper Application Form for a Companion Caregiver

FOR FAMILIES

Family Registration Form for a Housekeeper

Personal Details

Names, Sex and Ages of Children

Family Hobbies and Pastimes

About the job..

Driving

NB It is your responsibility to ensure that the House Keeper has the standard of driving you require.

Duties

Your Home and Area

How Long Would it Take to Reach the Following by Walking, Bus or Train/Tube?

Home

Important Legal Information For Employers

What Is A Nanny / Mother's Help, Housekeeper And Companion Carer

Testmonials

Families / Jobs Available Now

Applicants Available Now

Useful Contacts And Links

Contact Norma Lewis
Domestic Staff

How I Can Help Nannies / Mother's Helps

Application Form for a Nanny / Mother's Help

Application Form for a
Housekeeper

Application Form for a Companion Caregiver