Registration form Choose the profile of your application : NanniesMaternity nursesPrivate household management Registration Form of Lodged (live in)Not accommodated (live out) PermanentTemporary Enquiry date* Day Month Year Starting date* Day Month Year Length of contract* Application Form * Mr and Mrs Address City Postal code Country Phone Business telephone Mobile Email address MR Profession Nationality MRS Profession Nationality CHILDREN First name(s) Age(s) If schooled (s), indicating the days and hours INTERESTS AND HOBBIES OF THE FAMILY AND CHILDREN Secondary residence or vacation types HOME INFORMATION Absence of the parents of the house MR Mrs Please describe briefly the type of housing and its situation: If nanny accomodated, please describe Are you a smoking household YesNo Language spoken at home Do you know other languages? Do you have any pets ? YesNo Please specify the distance from your home to the following locations: At the Children's School: To the underground or station (station name): Do your children have special needs? YesNo If yes, which ones ? Will NANNY be asked to do some housework? : A littleNot at all If yes, please specify ? DUTIES AND COMMENTS: (Please describe the profil with possibly more details) Timetable of hours worked Time off (Weekly rest) THE CANDIDATE Experience EssentialPreferable A Vegetarian person: YesNo Minimum age : Maximum age : Would you like a driver? YesNo Do you accept a smoker? YesNo A person with a special diet? YesNo Net salary / weekly or monthly offered (in euros or equivalency) *: How did you find our agency? The Agency shall not be liable for any breach of the terms of engagement by either party or for any other act or omission done by negligence or willful intent.