Request Form

We are always looking for dedicated and caring individuals to support families in need of assistance. If you are seeking a reliable and professional mother’s help or nanny, even if you don’t find a suitable match in the list , please feel free to share your requirements with us. We are happy to assist in finding the perfect fit for your family

First Name

Last Name

Profession

Nationality of Mothers help required

Religion

Are you a single Parent?

Does anyone in the household smoke?

Do you require a live-in or live-out?

What age range are you looking for?

What is your proposed start date?

Do you have a spare room for Mothers help (mandatory)–

How many children will be cared for and what are their ages?

Do you have a child with special needs/disabled? (full details required)

Do you have a child with Medical Condition?

Do you have any one in your home with Mental Health issues?

What is the start time required?

What is the Finish time required?

Requirement/Daily Chores

How many days a week do you require?

How many hours a week do you require?

Do you require someone who drives?

What day/days will Mothers help be off?

Will you provide money for weekly food shopping for Mothers help? (you are required to provide food for live-in)

Address

Phone

Country

One-time registration fee (£100) (This will be deducted from your final invoice)

ACCEPTANCE OF TERMS AND CONDITIONS (mandatory) I accept and agree to comply with the terms and conditions of business as set out on the website and in the scale of charges and other documentation provided to me by the Mindful Trust Care & Cleaning Agency.

I Accept

ACCEPTANCE OF USE OF PERSONAL DATA (mandatory) Please consent to us storing the details which you provide above in order for us to be able to answer your query. We will not share your data with any 3rd parties. For more information on how we use your personal details, please read our Privacy Policy.

I consent

Request Form

Request Form

PLEASE TICK BOTH CONSENT FIELDS IN ORDER TO BE ABLE TO SUBMIT THE FORM!