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Short Term Family Application Form

INSTRUCTIONS:

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 form 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 No. 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 and accept all major credit cards. 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.

E-mail:*
Password:*   Retype Password:*
First Name:*   Last Name:*
Home Tel No: (country code first) -    Work Tel No: (country code first) - 
Mobile Tel No: (country code first) -    Fax No: (country code first) - 
Skype:
Address Line 1:*
Address Line 2:
City:*   County/State:*
Zip/Postal Code:*   Country:*
VAT number or equivalent:   Name and address of where the VAT number is registered:
Marital Status:*
  Nationality:*
Religion:   Profession-Husband:
Profession-Wife:   Languages spoken: (To make multiple selections hold down the ctrl key)
Names and ages of children:*   Description of home and locality:* (please state if in a rural area and if so access to public transport)
Other help kept in home:   No. of hours worked weekly of other help:
Type of help needed:*
  Is it ESSENTIAL that the candidate can:



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? (To make multiple selections hold down the ctrl key)
Would you be willing to accept a candidate who speaks very good English but is not Mother Tongue?  
Do you need a candidate who speaks a particular mother tongue?    
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 form 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:* (Own private bedroom should be provided)
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:*
No. Evenings off: (excluding the evenings of the days off)   Weekly salary:*
Is salary negotiable?   Family's interests:*
Where do you go on holiday?*   Do you have any animals?* (please give details)
How did you find our web site?*
  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 No. here   I give my permission for Totalnannies to use my details in promotional material.
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.
Terms and Conditions:

INSTRUCTIONS:

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 form 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 No. 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 and accept all major credit cards. 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.