Which service are you requesting? * Choose one... Nanny Housekeeper Both Mother's Helper Doula Chef Companion Estate Manager Chauffeur Butler Au pair Other 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

---

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

---

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 *

$

---

Start Date * What time? *

• START TIME

• END TIME

My schedule may vary

---

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

---

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

---

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

---

Any additional responsibilities?
Select all that apply

---

Your ideal caregiver:
Select all that apply

---