Placement Request Form Leave this field blank Primary Parent Full Name: Primary Parent Occupation Primary Parent ID Number: Primary Parent Cellphone Number: Primary Parent Residential Address: E-Mail address: Partner Full Name: (optional) Partner Occupation: (optional) Partner ID Number: (optional) Partner Cellphone Number: (optional) Partner Residential Address: (optional) Who will be the employer stipulated on the contract/UIF? Please give a brief description of you and your family (ie likes, dislikes, hobbies): How many members in your household: What are the ages of your children: What are you looking for? Part Time Nanny Full Time Nanny Part Time Domestic House keeper Full Time Domestic House keeper Live In Live Out Brief Job description of required employee: Working Hours: Day's Required: Select all the apply. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Salary (to not be less than R3500 for full time employment) During 3month probation After 3month probation Added benefits that will be over and above the salary i.e., Transport, meal packs, Uniforms etc: Age of required employee: Does not matter 20-30 30-40 40-50 50+ Someone who is confident around animals: Yes No If yes what animals: (optional) What experience do you require the employee to have: Personality of required employee: Outgoing Confident Quiet Flexible Adaptable Other. Please name: Preferred residential area of candidates: Would you prefer them to: Have their own children Have no children Have older children I do not mind Nationality of preferred employee: Preferred Religion on Employee if there is one: Languages preferred: Additional notes you would like us aware of: Extra information you would like us to know about your family: I agree to pay the following: Non-refundable Admin Fee: R350 regardless of package chosen This fee is due before any admin will be processed for your request. Yes No Package Choice: Blue: R1600 Green: R3000 Purple: R4000 Add Ons: (optional) Additional interview Additional replacement Basic Contract UIF Registration Leave Form Payslips Course Options: (optional) Blue Package - zero courses included / Green Package - 2 courses included / Purple Package - 3 courses included CPR and First Aid Infant Care Personal Hygiene Early Child Stimulation 0-1 years Early Child Stimulation 1-4 years Time Management, General Cleaning Covid Awareness 4th Trimester for Nannies Additional courses you would like her to attend:(Will be charged extra) (optional) CPR and First Aid Infant Care Personal Hygiene Early Child Stimulation 0-1 years Early Child Stimulation 1-4 years Time Management, General Cleaning Covid Awareness 4th Trimester for Nannies Terms and Conditions: The Employer agrees to pay the non-refundable agency registration admin fee of R350 before any interviews commence. The registration fee is valid for a period of time not exceeding 6 months. The Full Placement Payment is due before the employee starts probation period. The Employer agrees to the following placement fees as stipulated below: Blue Package: R1600 Green Package: R3000 Purple Package: R4000 The above mentioned placement fees will include the following: Blue Package: All background checks done Interview 3 candidates Contract drawn up Green Package: All background checks done Interview up to 4 candidates Contract drawn up Pay slip and Leave form templates sent 1 replacement (should it not work out with your first choice) in the first 3 months 2 Courses of your choice. Purple Package: All background checks done Interview up to 5 candidates Contract drawn up Pay slip and Leave form templates sent 2 replacements (should it not work out with your first choice) in the first 3 months 3 Courses of your choice. UIF Registration There will be a 3 month probation period within the Employer and Employee’s contract to safe guard both the employer and the employee. Should the Employer or Employee wish to terminate the contract within the 3 month probation period a labour consultant will advise on the legal procedure for both parties. Should the contract be terminated within the 3 month probation period, North Coast Nannies will attempt to place a new candidate of the Employers choice with the Employer according to the selected package. (please note only green and purple package allows for this.) Should the Employee have grounds for termination of their contract due to abuse, racism, or illegal working conditions and the labour consultant finds evidence of this, North Coast Nannies will have the right to terminate this said contract with immediate effect with out refund. North Coast Nannies will do all background checks, reference checks and ensure all information supplied by nanny/housekeeper is correct. Once this contract has been signed, full payment made and employee placed and work has commenced, should the employer change their mind, there is no refund. North Coast Nannies will put forward more candidates to interview as per point 8 above. Should the Employer choose not to interview or select anyone else from North Coast Nannies there will be no refund. Once both parties (Employer and Employee) are in agreement of employment conditions, and placement fee has been paid to North Coast Nannies, t the Permanent Contract between Employer and Employee will be drawn up and sent to the employer for both parties to sign on the first day of work. The employer agrees to send North Coast Nannies a copy of the signed contract for filing purposes. NO courses will be attended (if candidate has not done them already) nor will contracts or UIF registration be done if FULL PAYMENT has not be received by North Coast Nannies. I agree to all terms and conditions below I disagree to all terms and conditions below