Host Family's Application
Form for short term placements up to 4 months
SUMMARY
SECTION 1. FAMILY
DETAILS
Fill in the application
form on-line. Please answer all questions giving as much detail as
possible on your family and your requirements. All fields marked
with a * are required and must be completed. Please
note that this application is for short term placements of maximum
4 months. If you are looking for a long term candidate please fill
in our regular
application form.
Once your
application has been received you will be given a reference N°
that you will need to quote on all correspondence, e-mails or when
contacting us by telephone
We offer SSL
on-line secure credit card payment. For your convenience if you
prefer, you can
fax us your application with your credit card details. We also accept
payments by
cheque and
bank transfers
VAT number or equivalent (if you have a VAT number you will
not be charged VAT)
Name and address of where the VAT number is registered
Marital Status*
Nationality*
Religion
Profession-Husband
Profession-Wife
Languages spoken
Names and ages of children*
Description of home and locality * (please state if nearest large town and if in a rural area and if so access to public
transport)
Other help kept in home
N°
of hours worked weekly of other help
Type of help needed (Please tick)*
Is it
ESSENTIAL that
the candidate can:
Cook?
Swim?
Drive?
Is a non-smoker?
Has experience with children ?
Is mother tongue English?
Will the candidate be expected to do
housework for the family?
Does your family have any special needs
(please give details)
Will you accept a candidate who smokes
only outside?
Do you need a
candidate that can speak a particular foreign language?
Would you
consider employing a male?
Will you give
use of a car?
Will you
give use of the internet?
Approx starting date*
Length of stay*
This application from is for short term stays. If you require a
candidate for a longer period please fill in our regular
application form
Description of candidate's accommodation*
Approx hrs of
work:*
Morning from to
Afternoon from to
Total daily
hours: (max 10 hours per day)*
Duties
(please go into as much detail as possible*
Time off*
N°
Evenings off (excluding the evenings of the days off)*
Weekly salary*
Is salary
negotiable?
Familys interests*
Where do you go
on holiday?*
Do you have any animals?(please
give details)*
How did you find our web site?*
If you stated other above please specify (quote ref no if
applicable)
Any other relevant information which
you feel is important
If you have browsed our
summary of available candidates and have seen one or more
candidates you are interested in quote their ref N°
here
If you have already
been registered with us please quote your previous Family Ref
N° here.
Terms and Conditions for short-term
placements maximum 4 months
By clicking submit I
declare that I have read all the information on hosting a candidate
in my family, and the content of the Totalnannies website and I
accept the conditions. I also declare to accept Totalnannies' terms
and that all the information on this application form is true.