Children

Number of children

Name                                                                  Sex                                          date of birth

School, kindergarten / attendance

Health problems / allergies etc.

Interests or hobbies concerning the children

Is a new baby expected?

What are your current childcare arrangements?

Are the parents smokers? No Yes

Single parent?                  No Yes

Further comments

Type of employment required

Full-time Nanny (more than 30 hours per week)     live-in     live out

Part-time Nanny (less than 30 hours per week)       live-in     live-out

Temporary Nanny (working for up to 3 months)     live-in     live-out
If temporary date required: fromto

If live-out, would you consider a nanny who brought their own baby / child to work  Y    N

Sole charge  Y  N  if not please specify

Conditions of employment

Job title
Expected duration
Approximate hours of per week
Number of days required per week please give details where required
Monday     Tuesday     Wednesday
Thursday     Friday     Saturday
Sunday     Days off     Babysitting required

Would the position involve travel?

Monthly / weekly / annual starting net salary in €

Details of holiday entitlement in addition to statutory holidays

Additional benefits, if any

Will you offer health insurance?

What is your preferred start date?

Further comments

Additional Information

Languages required       English     Native Fluent Basic not at all

                                        German    Native Fluent Basic not at all

                                        Other Native Fluent Basic not at all

Do you have any specific requirements for your nanny? (i.e. help with homework, household or other, cooking expertise ...)

Any other information about the lifestyle of the family

Further comments

Housekeeping Responsibilities

Childrens' Rooms / Bathrooms
Childrens' Laundry
Childrens' Meals
Keeping kitchen tidy and clean, floor swept after meals prepared
Help prepare evening meals following directions by parents
Responsible for loading / unloading dishwasher
Tidying, vacuuming, dusting children's play area
Maintain standard of tidiness set by parents
Keep her own room / bathroom tidy and clean
Other

Home Location

Countryside     Small Town    Large Town    City Suburb    City
House     Flat
Number of bedrooms
Number of bathrooms
Approximate size      
Pets kept                    
Use of car (for sole use or working hours only)
                                  
Other domestic help employed
                                   
Nearest public transport
                                   
Accessibility to nearest town / centre
                                   
Does your house have a garden
                                   
Description of local community & facilities
                                   
Further comments
                                   

Information for live-in Nannies only

Own bedroom
Self contained flat
Separate bathroom
Separate radio   TV   Video   DVD   Phone line   Mobile phone   own computer   Internet access
Friends welcome
Further comments

Have you employed a nanny before? If so please note dates of employment and reasons for leaving

Information for Felicity Nannies

How do you propose to interview prospective candidates

Preferred interview times? Please advise which are most suitable times for interviews with the candidates

How did you hear about Felicity Nannies? (if via internet, please indicate via which webpage)

Further comments

I confirm that the above information is correct and I have read and accept your terms and conditions