Hire a Nanny

Request a Nanny

Family Name
Father's Name
Mother's Name
Full Address, including post code
Home Phone
Skype ID


Place of Work
Office Number


Place of Work
Office Number


Child/Children's Name(s), Age(s) and Gender(s)
Schools Attended
Children's Hobbies/Interests
Family Hobbies/Interests
Is a baby due?  Yes No
Will the nanny be left in sole charge?  Yes No
Family Religion


Brief Description of the home
Is it in the town or country?  Town Country
Do you employ domestic help?  Yes No
Do you have any pets?  Yes No
Nearest Rail/Bus Station


Do any of your children require special care?  Yes No
If yes, please give details
Type of staff required
Start Date
Expected Hours
How much time off is envisaged?
What net salary do you envisage paying?
Do you require a driver?  Yes No
Will a car be provided?  Yes No

Please give a start and finish date for a temporary position

Start Date
Finish Date
Will the employee travel with you on holiday?  Yes No
Will you accept a smoker?  Yes No
How many evenings baby-sitting will you require?
Is the position daily or residential?  Daily Residential
Own Room?  Yes No
TV/Video?  Yes No
If residential, what accommodation is provided?  Bathroom Bedroom Self-contained Flat

A photograph of your family will make the position more attractive (this can be done later if preferred).

Family Photograph (max 500kb) (accepted file formats: jpg, jpeg, gif, png)
Please give the name, email and address of someone who can provide a family reference
Please give a brief description of duties involved to help us to find a suitable person for you.

Agreement to Agency Terms

This is to confirm that I accept and agree to Nanny Connections' terms and conditions of business and fee schedule. I agree to inform the agency by telephone when I have engaged an employee and to send confirmation in writing within 3 days of such telephone call.

I Accept:  Accept
Full Name:

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