Which service are you requesting? * Choose one... Nanny House Manager Other Position (if not listed in the drop down above.) When do you need help? * Ongoing Casual Full or Part-time? * Full-time Part-time Are weekends required? Yes No Start Date * Start date is flexible

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Schedule *

• Mon
• From:
• To:
• Apply to all

• Tue
• From:
• To:
• Apply to all

• Wed
• From:
• To:
• Apply to all

• Thur
• From:
• To:
• Apply to all

• Fri
• From:
• To:
• Apply to all

• Sat
• From:
• To:
• Apply to all

• Sun
• From:
• To:
• Apply to all

Schedule may vary

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No. of Children? * N/A 1 2 3 4 5 6 7 8 9 10 >10 Ages of Children? Are You Expecting? Yes No No. of Adults in the house? 1 2 3 4 5 6 7 8 9 10 >10 Is cooking required? Yes No Do you have pets? * Yes No Kinds of Pets Is traveling required? Yes No Do you require swimming? Yes No Do you require driving? Yes No Is a car provided? Yes No Describe Parking Situation Hourly Rate *

$

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Start Date * What time? *

• START TIME

• END TIME

My schedule may vary

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Number of Children? * N/A 1 2 3 4 5 6 7 8 9 10 >10 Ages of Children?

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Where do you need care? *
Use my home address. Address Address 2 City / Suburb State / Territory Postal / Zip Code

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Emergency Contact *
Emergency contact phone Name of emergency contact Relationship to you

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Any additional responsibilities?
Select all that apply

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Your ideal caregiver:
Select all that apply

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