Specialising in the placement of  Nannies,   Au Pairs  &  Baby-Sitters  to Families in the West Midlands

West Midlands Area only supplied

 

Solihull Nanny Agency


Application Form for a Family seeking an Au Pair

So that we may process your details and requirements, please fill in the on-line form below to the best of your ability and we will respond as soon as possible.

Or alternatively you may wish to complete a printed PDF form and send the completed form to us by post.

* fields are required.

Personal Information









including area code.


Children's Details









Please supply any further details about your children you feel is relevant to help us find you suitable childcare including any medical conditions.
Childcare Required


*Please select any of the Au Pair positions you think you may require
Please state any other requirements needed for your child/children


*Do you require your Au Pair to drive?


Hear about us
Photographs
If you have any photographs of the family that you would like to send to us, then please use the facilities below:

1st image:

2nd image:

3rd image:

file extentions not accepted:-
bat, com, exe, scr, vbs, vbe, js, reg, pcd, inf, plf and pcd

Declaration

I declare that I have read and agree with the "Terms & Conditions" of the Agency and that all the information that I have given on this on-line form is true.
Furthermore, I declare that any information that this Agency gives to me, will be treated as confidential:

*please tick

    

All information received, will be treated in the strictest of confidence and never passed onto any other Organisation or Agency, unless otherwise requested.

 

 

                                                                                              For further information email: