Rainbow Nanny Agency

CLIENT REGISTRATION FORM
THIS SECTION TO BE COMPLETED IN ALL CASES, PLUS SECTION 1 FOR NANNIES, SECTION 2 FOR BABYSITTERS AND SECTION 3 FOR STAFF HIRE 
Name : Telephone (Day) :
Address : Telephone (Evening) :
Ethnic Origin :
Children (ages & sex please) : Have you used an agency before ? :
Where did you hear about Rainbow ? :
SECTION 1 - TO BE COMPLETED BY THOSE SEEKING PERMANENT NANNIES ETC.
Please tick the appropriate boxes :
TYPE OF POSITION CONDITIONS REQUIREMENTS AGE OF PERSON

Nanny

Sole Charge

Qualified

17-20 yrs

Mothers Help

Live In

Experienced

20-30 yrs

Housekeeper

Live Out

Learner

Over 30 yrs

Maternity Nurse

Full Time

Driver Essential

Over 40 yrs

Before School

Part Time

Driver Preferred

Any Age

After School

Temporary

Car Available

 
Please indicate the following :
Commencement Date :

Hours of Duty :

Please give details of live in accommodation if required :

Other staff employed :
Salary per week (£) :

Is this nett or gross ? :
Other information (e.g. special duties, pets, rural location etc., which may help with your application) :

I HAVE READ THE TERMS OF BUSINESS,  AND AGREE TO ABIDE BY THEM      (please tick )  : 
SECTION 2 TO BE COMPLETED BY CLIENTS REQUIRING BABYSITTERS 
I HAVE READ THE TERMS OF BUSINESS,  AND AGREE TO ABIDE BY THEM   (please tick) : 

SECTION 3 - TO BE COMPLETED BY CLIENTS USING THE STAFF HIRE SERVICE.
Please indicate the type of staff required (Nanny, Nursery Staff, etc.) :

No. of hours per day :

Days of the Week :

Time From :

Time To :

Exact Duties Required :

Driver Preferred : Driver Essential : Car Available :
Nearest bus route or train station :
Any further information :
I HAVE READ THE TERMS OF BUSINESS, AND UNDERSTAND THAT I WILL BE INVOICED ON A MONTHLY BASIS FOR THE NUMBER OF HOURS WORKED. YOUR EMPLOYEE WILL PROVIDE RAINBOW WITH A TIMESHEET TO VERIFY THE NUMBER OF HOURS WORKED (please tick) :

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