Employer Registration Form

Employer Information:

Please provide as much details as possible.
Type of service needed*

Au PairGovernessMaternity Nurse/NannyTutor/FacilitatorHouse manager/Butler
Starting date of employment*
Full Name*

First NameLast Name
Client occupation*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile number*

Country CodeMobile number /
Other number (landline)

Country CodeArea CodePhone Number
E-mail*
example@example.com
Are you pregnant currently? Expected due date?
Your requirements
Length of commitment needed?

Unlimited1 year+2 years+6 months
I am looking for an employee that is available on these days:*

MondayTuesdayWednesdayThursdayFridaySaturdaySundayOther
I am looking for an employee that is available:*

Full time (> 6 hrs)Part-Time (< 6 hrs)Temporary (< 6 months)Live InLive OutPart-time Term/Fulltime School holidaysFor occasional weekends/overtimeOther
Specify Hours:*
Be specific i.e. Term: Mon - Fri 1-6pm School Holiday: Mon-Fri 8-6pm
Monthly salary / hourly rate offered?*
What is your budget or range?
What type of lifestyle will best describe your family?*
Sporty / home bodies/readers etc
Who is caring for your children now and why is she leaving*
If you intend to employ a House Manager/Butler we require a detailed job description which can be uploaded here:

House manager/Butler Job Description
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IF ACCOMMODATION IS PROVIDED. Please provide several photos or video of the living quarters and surrounding area.

Photographs of bedroom / bathroom / living area(if any)
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Details of Children
Name
Age
School
Name of school
Extra-murals?
Afterschool activities
SN / Allergies
Special needs/Allergies
Name
Age
School
Extra-murals?
SN/Allergies
Name
Age
School
Extra-murals?
SN/Allergies
Name
Age
School
Extra-murals?
SN/Allergies
Briefly describe each child's personality and developmental stage
Briefly describe the type of parent you are?
i.e. lenient / structured etc.
Employee requirements

Describe your ideal employee.
Age Range
e.g. 25-35
Religious preference
e.g. Christian / None
1st Language pref.
e.g. Christian / None
Ethnicity/Nationality
Select relevant requirements

QualifiedExperiencedFirst Aid QualificationNon-smokerOwn carDriver's licenseWilling to travelAnimal LoverCan swimComputer literateCan cook well
Select duties

Meal preparationShoppingErrandsSchool RunsLaundry (Children's)Extramural runsHomeworkTutoringSupervise other household stafffAdmin workOther
Are there any specific qualities and skills you expect the candidate to have?
i.e. Computer literate / speak a different language etc.
IF LIVE-IN POSITION:
Please describe (a)the living quarters of the candidate (b) if meals are included (c) anything else that is relevant
File Upload

Include photographs of live-in accommodation
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Job Description or any other information not mentioned or selected above
If you have previously employed someone, what did you like most and least of this experience?
i.e. Computer literate / speak a different language etc.
Convenient days/times for interviews?
How did you hear about us?
OUR CANDIDATES AND VACCINATION

At this point, 95% percent of our candidates are vaccinated. We do ask about their vaccination status in the application but legally they are under no obligation to provide us with that information under the POPIA act. When they do, it is completely voluntary, and we disclose that information to you with their permission.

We would like to protect you as the employer, the employee as well as ourselves in this matter and therefore all questions related to the Covid vaccine, must be with respect to each other's beliefs and convictions and all information provided must be voluntary and not under duress. Anything other than this, will be construed as discrimination under our Labour Law and Human Rights Act (art.14).
Agreement

I agree to the Terms of Business which the Agency will send to me on submission of this registration form.I agree hereby that all the information provided is correct.By checking this box, I hereby give Mary Poppins Recruitment permission to present the content of this form to, prospective candidates, which I approved and requested to interview.
Name

First NameLast Name
Date

MonthDayYear
Date
Please verify that you are human*
Once you submit the application, you will be redirected back to our webpage.
Should be Empty:

Employer Information:

Your requirements

Details of Children

Employee requirements