Fees         Terms and conditions
* indicates that you must complete this section
Please complete the following form to register your interest in child care:
*Name:
*Address:
*Post Code:
*Email Address:
*Telephone Daytime:
Telephone Evening:
Mobile Telephone:
Fax:
Occupation:
Nationality:
Religion:
Do you work from home?	yes    no
What are you requirements? You can select more than one.	full-time nanny: yes    no		part-time nanny: yes    no
	nanny share: yes    no		nanny/housekeeper: yes    no
	weekend/evening nanny: yes    no		after-school child care: yes    no
	school-holiday child care: yes    no		fulltime mothers’ help: yes    no
	part-time mothers' help: yes    no		maternity nurse: yes    no
	temporary nanny: yes    no		babysitter: yes    no
	nursery nurse: yes    no		nursery assistant: yes    no
	other, please state:
Please answer the following questions with as many details as possible.
Number of boys:		Ages:
Number of girls:		Ages:
Do your children have any special dietary or medical requirements?
Do you require live-in or daily help?	live-in help   daily help
If you require live-in help, what accommodation will you provide?
Would you consider a nanny who had her own children to take to work with her?	yes    no
Is this a sole charge position?	yes    no
Do you require a car driver?	yes    no
Is a car provided?	yes    no
Do you have any family pets? If so, please explain:	yes    no
Do you have other domestic help? If so, please explain:	yes    no
Other information that you feel may help us with our selection process i.e. family interests, will there be any travelling abroad with the family etc:
Duties required?
Commencement date?
Hours and days required?
Salary offered?
Other benefits offered?
Smoker or non-smoker required?	smoker    non-smoker    either
How did you hear of Upstairs Downstairs Domestic Recruitment?
Please click here to open a new window containing our terms and conditions. * To confirm that you have read and agree to the terms and conditions, type "I AGREE" here:

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