Registration
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If you are looking to hire a child carer, please complete the following form and we will get back to you as soon as possible.
Mothers Personal Information
First name
Surname
Address
Postcode
Home Telephone:
N
ationality
Religion
O
ccupation
Work telephone (if applicable)
Mobile telephone
Email address
Fathers Personal Information
First name
Surname
Address (If same as 'Mother' please leave blank)
Postcode
Home Telephone:
N
ationality
Religion
O
ccupation
Work telephone (if applicable)
Mobile telephone
Email address
Your Home
Is your home
>> Select
Urban
Rural
Do you employ any household staff?
>> Select
Yes
No
Do you have any pets?
>> Select
Yes
No
Your Children
Boys
>> Select
1
2
3
Girls
>> Select
1
2
3
Their ages and type of School attended:
Boys
Girls
Particular interests or hobbies
Do any of your children require special care?
Your Requirements
Do you require:
Nanny (NNEB)
Nanny (experienced)
Mothers Help
Mothers Help (experienced)
Baby Sitter
Full Time
Part Time
Daily
Live In
If Live in please describe accommodation:
Will your nanny accompany you overseas?
>> Select
Yes
No
If so state destination(s) and duration(s):
Car driver essential?
>> Select
Yes
No
Would car be available on duty?
>> Select
Yes
No
Would car be available off duty?
>> Select
Yes
No
Starting date
Length of stay?
Activities required:
Nursery duties only
Light housework
Full housework
Cooking:
>> Select
For the children only
For the whole family
Will carer have sole charge?
>> Select
All of the time
Some of the time
Daily hours:
Start
Finish
Days per week
>> Select
1
2
3
4
5
6
7
Annual holiday days
Weekly Babysitting hours (if appropriate)
Maximum net salary per week
Any additional information? Please give further details of the type of person you are looking for and any useful information about your family!
Please mention how you heard of Coralis?
I agree to abide by the Coralis Childcare Agency
terms and conditions
Upon processing of the application we will contact you as soon as possible.
