Parent's Application Form

E-mail address

Name

Home number

Mobile number

Work number

Address line 1

Address line 2

Town

Region

Post code

Nationality

Religion

Pets

Name

Age

Gender MaleFemale

Name

Age

Gender MaleFemale

Name

Age

Gender MaleFemale

Name

Age

Gender MaleFemale

Due date

Any disabilities/illness with your child/children

Your requirements TrainedLive in
ExperiencedLight house work
Full-timeSole charge (with nursery duties)
Part-timePartly sole charge
Temporary maternityNon-smoker
2-12 weeksOwn car
Nursery duties onlyCompany car

If you require a live in nanny please let us know what facilities you will offer Own roomTV in room
Own bathroomHoliday with family

Other facilities on offer

Start date

Salary

Days of work

Hours of work

Day(s) given off

Babysitting

Where did you hear about Chalfont Nannies?

Would you consider a nanny with her own children?

I have read and accepted the Chalfont Nannies terms and conditions