Clients - UK Registration

Please complete the form below in as much detail as possible - the more information we have about you, your family and specific requirements, the easier it is for us to meet your needs. If you prefer, you could contact Domestic Solutions directly and we will be happy to fax/post an application pack.

* - indicates required fields

Email :	*
First name :	*
Surname :	*
Address :	*
Home telephone :	*
Office telephone :
Mobile number :
Fax number :
Father's profession :
Father's nationality :
Father's religion :
Mother's profession :
Mother's nationality :
Mother's religion :
Languages spoken at home :
Names and ages of children :
Do any of your children require special care? :	Yes No
Is your home informal / formal? :	Informal Formal
Brief description of home :
Is your home in a city/town/village/rural location? :	City Town Village Rural
What domestic staff do you have? :
Do you have any animals? :
Description of public transport to nearest town :
Type of staff required? :	Couple  Housekeeper  Housekeeper/Cook  Butler  Chef/Cook  Housekeeper/Nanny  Chauffeur/Driver  Nanny  Gardener  Companion/Carer  Security  Lady's Maid  Estate Manager  House Manager/PA  Handyperson  Other Full-time Part time Live-in Daily/Live-out
Is a driver essential? :	Yes No
Will the employee have use of a car? :	Yes No
Is a non-smoker essential? :	Yes No
What sort of personality are you looking for? :
Do you require your employee to do ...
House work :	Yes No
Home cooking :	Yes No
Dinner party cooking:	Yes No
Serving:	Yes No
Household shopping :	Yes No
Valet:	Yes No
Childcare:	Yes No
Will your employee have sole charge of the children? :	Yes No
How often are the parents away from home? :
Will the employee travel with the family? :	Yes No
Places :
Start date :	Any 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Any January February March April May June July August September October November December Any 2012 2013 2014
If a temporary position, what is the duration of the post? :
Salary (per week) :
Period of notice :
Days off (per week) :
Annual paid holiday :
Approx. how often will you require babysitting, if any? :
What accommodation is offered? :
Describe in full the employee's duties, and any other comments or requirements.
How did you hear about Domestic Solutions? :
It is the responsibility of all employers to provide the necessary work/travel visas where required for employees. I/We confirm that the information given is accurate and given in good faith. I accept the agency's fee structure.
	Yes No