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Name
Address
Postcode
Telephone (Home)
Telephone (Work)
Telephone (Mobile)
Fax
E mail
What wages are you willing to pay
What sort of help do you require?
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LIVE-IN NANNY
DAILY NANNY
MOTHERS HELP
BABYSITTING
Temporary or Permanent
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TEMPORARY
PERMANENT
Full or part time
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FULL TIME
PART TIME
When do you need help from?
If temporary, until when?
What days and hours are you looking for help?
What wages are you looking to pay net?
Per
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HOUR
DAY
WEEK
MONTH
Please give a brief description of the roles and responsibilities that will need to be performed.
Please include how many children and what ages and sex
Do you have any pets?
Select
YES
NO
If yes, please list
Do you provide a work car?
Select
YES
NO
If no, is one needed?
Select
YES
NO
Please list any special requirements
Would you consider a nanny with their own child?
Select
YES
NO
Are you registered with any other agencies?
Select
YES
NO
How did you hear about Merryways?
I have read and agree to Merryways Terms and Conditions
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