FAMILY'S  DETAILS
Client Registration

Please complete this form if you are a family seeking an au pair, au pair plus, nanny or mother's help. The information will assist Konnex International Limited to match your requirements to applicants that are suitable for your family. If you need any information, please visit the information page.




ABOUT YOU ABOUT YOUR PARTNER
Surname
Surname
First Name
First Name
Profession
Profession
Religion
Religion
Nationality
Nationality
Race

Race

Age
Age

Telephone Work
Fax E-mail
Address
Town Country
       
Photo: GIF/JPG, 450x300 px (40 kB)!


NAMES AND AGES OF CHILDREN

Name Age
Name Age
Name Age
Name Age


CHILDREN'S INTERESTS AND HOBBIES

FAMILY HOBBIES

ANY DISABILITY IN THE FAMILY

FAMILY HOUSING

PETS

 

ABOUT THE AU-PAIR/MOTHER'S HELP/NANNY

Childcare needed

au-pair

au-pair plus

nanny

mother's help
Min. weekly pocket money
60
85
150
100
Actual pocket money we shall pay
Maximum working hours a week
 
Extra money must be paid if required hours exceed basic hours

Duties of candidate:

Required skills and criteria (1 being the highest) 
1
2
3
Level of English
First aid
Cooking
Ironing
Housework
Driving
Cycling
Swimming

Would you consider a smoker? Yes No

Any other requirements (give more any information about your requirement)

Desired childcare experience

Desired starting date
Length of stay
You would prefer an applicant that is
Preferred nationality of candidate
(to enter multiple choices hold ctrl)

Candidate's accommodation

Can candidate attend English classes?
Yes No

Will you contribute towards cost?


Is there any other person(s) living in the house not already mentioned?
Yes No

If yes, please give details


Any other information (give us any more information about your family)

Please give details of any person to whom Konnex International Ltd. can apply for a personal reference (outside the family).

You will be agreeing and signing the contract upon pressing the "I agree/submit button. Please read the terms and conditions.