Family Form | My Jolie Place

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We need a little more information from you. Please fill out the following form.

First name

Last name

Phone

Email

Address

First Name

Full Name Of Parent / Guardian

Occupation

Days / Hours Worked

Location Of Work

Full Name Of (2nd) Parent / Guardian

Occupation

Days / Hours Worked

Location Of Work

Children

Number Of Children

Names / Ages Of Children

Do You Have Pets? Please Provide Info

Daily Routine

Please Give Details Of Your Daily Routine

CCTV

* You are reminded that you are legally required to inform your nanny or any other person working in your home if you do have CCTV that may be filming them while they are working

Does Your Home Have CCTV?

Languages

What Languages Do You Speak At Home

Your Requirements

What Services Are You Looking For?

Nanny (Live In)

Nanny (Live Out)

Nanny Housekeeper (Live In)

Nanny Housekeeper (Live Out)

Housekeeper Or Housekeeper Cook (Live In)

Housekeeper Or Housekeeper Cook (Live Out)

Carer

Maternity Nurse / Night Nurse

Family PA

Travel Nanny

Other

Are You Looking For Temporary Or Permanent

Temporary

Permanent

Unsure

Other

Required Start Date

Hours / Days Required Per Week

Start / Finish Time Each Day (Inc Breaks)

Hours Of Night Babysitting Per Week

Hours Of Work During School Holidays

Summarise The Main Qualities You Value & Previous Experience Necessary For This Role:

Essential Duties & Responsibilities

Responsibilities

School Pick Up / Drop Off

Supervise Homework

Other Physical Activities

Attend Toddler Groups / Playgroups

Other

Duties

Cleaning

Cooking

Family Laundry

Family Ironing

Managing Children's Bedrooms (E.g. Changing Bed Sheets)

Dog Walking / Other Pet Care

Food Shopping

Other

Driving

Yes

No

Unsure

Is A Car Provided

Yes

No

Unsure

Do You Require Ofsted Registered?

Yes

No

Unsure

Have You Ever Employed Nannies/ Housekeepers Before?

Yes

No

Would You Be Interested In A Nanny With Their Own Child?

Yes

No

Unsure

Do You Have Other Help In The Home? Please Provide Details

Do You Currently Have Someone Doing The Role

Yes

No

Are There Any Dietary Requirements Or Allergies In The Home?

Describe The Accommodation If Live In Role Required

What Is Your Rough Estimation On Net Salary Payable? (If Determined)

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I Have Read & Agreed To The Terms Of Business. Read Here.

Contact Joanna

joanna@myjolieplace.co.uk

07942 318 054

Contact Natalie

natalie@myjolieplace.co.uk

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