Family Registration Form For A Nanny, Mother's Help (Live In / Out)

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

Personal Details

Full Name and Title *

Address *

Postcode *

Home Telephone Number *

Mobile Phone Number *

Work Telephone Number

E-Mail *

Family Details

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?

What are your families hobbies and interests?

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

Which sports do your family enjoy?

Any other interests or after school activities

Do you have any pets? Yes
No

If so what are they

Do you require the Nanny/Mothers Help to assist with the care of the pets Yes
No

How?

Do you require your nanny to be qualified, or is experience sufficient?

Qualifications Yes
No
Preferred

Experience Yes
No

Do you require your nanny to be Ofsted registered? Yes
No

What do you want from your Nanny / Mothers Help?

Do you need a Nanny
Mothers Help
Either

Do you want someone to Live-in
Live-out
Either

When do you need a Nanny/Mothers help to start

How long would you like them to stay

Will you accept a smoker? Yes
No

If Yes are there any restrictions

Do you need a driver? Yes
No

If yes, for what types of journeys?

If yes will you provide the car? Yes
No

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

Is the car Manual
Automatic

Will the Nanny/Mothers Help be allowed use of the car for themselves? Yes
No

NB It is your responsibility to ensure the Nanny / Mother's Help has the standard of driving you require.

Duties you would expect from your Nanny / Mothers Help

Childcare Yes
No

Housework Yes
No

Sole charge Yes
No

Cleaning Yes
No

Playing with children Yes
No

Hoovering Yes
No

Feeding babies Yes
No

Dusting Yes
No

Simple cooking Yes
No

Washing / ironing Yes
No

Taking to / collecting from school Yes
No

Bed making Yes
No

Babysitting Yes
No

Do you employ any other help Yes
No

How many days and which hours do you require you Nanny/Mothers Help to work

Please provide a timetable of a typical days duties for your Nanny/Mothers Help

May the Nanny/Mothers Help be required to travel with you Yes
No

If Yes Within Europe
Worldwide

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
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

May the Nanny/Mothers Help use these facilities Yes
No

May the Nanny/Mothers Help have friends in your home Yes
No

Describe your Nanny/Mothers Helps accommmodation if applicable

How long does it take to get to the following by Walking, Bus or Train/Tube?

Local shops

Bus stop

Train / Underground

Main shopping centre

Library

Restaurants

Pubs and Bars

Museums

Cafes and Restaurants

Night Clubs

Which is your nearest airport and train or tube station

Salary

What are you willing to pay your Nanny /Mothers Help (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

And Finally...

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 Nanny / Mothers Help Yes
No

How did you hear about Norma Lewis Domestic Staff? *

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

Have you previously employed a Nanny Yes
No

Do you require your Nanny to hold an enhanced CRB check or at least have applied for one

(N.B. A CRB application can take 4-8 weeks to process. If you require your Nanny to hold an enhanced CRB check BEFORE commencing work for you or at least have applied for one then please state this in the box above. )

Once offered employment by you, if the Nanny has to apply for a CRB, are you happy to meet the cost? Yes
No

Acceptance of terms and conditions

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.

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 Nanny or Mothers' Help

Personal Details

Family Details

Names, Sex and Ages of Children

What are your families hobbies and interests?

Do you require your nanny to be qualified, or is experience sufficient?

What do you want from your Nanny / Mothers Help?

NB It is your responsibility to ensure the Nanny / Mother's Help has the standard of driving you require.

Duties you would expect from your Nanny / Mothers Help

Your home and area

How long does it take to get to the following by Walking, Bus or Train/Tube?

Salary

And Finally...

Acceptance of terms and conditions

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 Nanny or Mothers' Help

Personal Details

Family Details

Names, Sex and Ages of Children

What are your families hobbies and interests?

Do you require your nanny to be qualified, or is experience sufficient?

What do you want from your Nanny / Mothers Help?

NB It is your responsibility to ensure the Nanny / Mother's Help has the standard of driving you require.

Duties you would expect from your Nanny / Mothers Help

Your home and area

How long does it take to get to the following by Walking, Bus or Train/Tube?

Salary

And Finally...

Acceptance of terms and conditions

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