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? YesNo
Will the nanny be left in sole charge? YesNo
Family Religion


Brief Description of the home
Is it in the town or country? TownCountry
Do you employ domestic help? YesNo
Do you have any pets? YesNo
Nearest Rail/Bus Station


Do any of your children require special care? YesNo
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? YesNo
Will a car be provided? YesNo

Please give a start and finish date for a temporary position

Start Date
Finish Date
Will the employee travel with you on holiday? YesNo
Will you accept a smoker? YesNo
How many evenings baby-sitting will you require?
Is the position daily or residential? DailyResidential
Own Room? YesNo
TV/Video? YesNo
If residential, what accommodation is provided? BathroomBedroomSelf-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:

If you would like a printed copy of this form, please click here