Names & ages of children:*
Description of home and locality
(please specify if located in rural area and if there is access to
help kept in home:
of hours weekly of other help:
Type of help needed (please tick):*
Nanny: Maternity Nurse:
Is it essential that the candidate:(please
Is a non-smoker?
mother tongue English?
Is mother tongue of another language?
If yes which language?
Can speak a foreign language?
Has had live-in experience with children?
Will the girl be expected to do housework for
Would you consider employing a male?
Will you give use of a car?
Will you give use of the internet?
Would you accept a
candidate who will smoke only outside the family home?
Does your family have any special needs? (please
Length of stay:*
Description of candidate's accommodation:*