Nanny Application

NANNY APPLICATION FORM

SUBMIT ONLINE, BY EMAIL MAIL@NANNYSECURE.COM OR WHATSAPP +442071830981

PLEASE PROVIDE GOOD DETAILS OF YOUR EXPERIENCE AS FAMILIES USE THIS INFORMATION TO DECIDE WHO TO HIRE
Please Upload your picture. Headshots (i.e upper half only preferred) *

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Name*
Address*
Telephone*

Country CodeArea CodePhone Number
Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
TRAVEL HISTORY
Have you been to the U.K before? If yes when was your date of last travel?
Have you traveled to any other countries? (please list them)
If you are outside the U.K have you checked flight prices and do you have enough funds for your flight?
U.K Emergency Contact- Supply Name, phone number and email, what is their relationship with you? (e.g sibling, parent, friend) *
MISCELLANEOUS
What are you seeking ?*
Do you have any preferences in terms of job location, working days, types of jobs you would like or wish to avoid or anything else we should note? please explain here.
Have you ever been convicted of a crime? (If Yes, explain)
Do you take drugs?
Do you smoke?
Do you have a valid driver's license?
Do you drink alcoholic beverages?
Do you have any dietary restrictions? If yes, explain
Do you have any medical conditions that may affect your ability to work as a nanny? If Yes, explain:
Are you pregnant?
Do you have any children? If yes, how many children?
What is your energy level?
Are you physically able to work as a nanny?
Do you have any allergies? If Yes, explain
Do you take any prescription medications? If Yes, list
Have you had or do you currently have any psychological or emotional problems? If Yes, explain
What is your highest level of education?
Do you have First Aid/CPR certification? If Yes, what level?
Have you taken any additional courses or training? If Yes, list:
Have you taken any additional courses or training? If Yes,
What are you Hobbies & interests
Do you swim?
Do you like pets? Explain
Do you do housekeeping? Explain
Do you cook? Explain (eg type of food you cook)
List any other interests that may be relevant
Please detail your employment history. This should include Dates, Employer, Telephone Number and duties*
NANNY EXPERIENCE
WHY ARE YOU INTERESTED IN WORKING WITH CHILDREN? What is your previous nanny experience? Were you a Live-in Nanny, Live-out Nanny , Mother’s Helper, babysitter? Please describe your role and experience if applicable:*
What is your previous experience working with children? Eg have you worked as a teacher, teching assistant, camp counsellor, baby sitter or raised your own children? Please explain
What skills have you employed as a nanny (check all those that apply):

Cared for nursing babyPrepared formulaGave medicationsGave solid foods to babyProvided 24 hour childcareHelped toilet train a toddlerCared for sick childTaught child to swim
Have you worked with special needs children? If Yes, explain
Please list the different ages of children you have worked with (e.g Newborn, 6-24 months, 2-5 years, 6-12 years, teenagers) How long did you work with each age group? Please explain each role:
Please supply 2 child care references.
First Child Care Reference Name
Email
example@example.com
Phone Number

Area CodePhone Number
Date you worked with them

MonthDayYear
Date
Ages of the children looked after in that job
Second Child reference Name
Email
example@example.com
Phone Number

Area CodePhone Number
Date you worked with them

MonthDayYear
Date
Ages of the children looked after in that job
If you have a CV showing you general work history please upload it.

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I {name}, acknowledge that Nanny Secure Limited (the "Agency") may request a reference check, which may include information on my character, general reputation, education, personal characteristics, driving record, police record, and past employment. I hereby authorize the Agency to obtain any such information.

I acknowledge that I have read and understand this statement and that, to the best of my knowledge, the information provided in this application is true and correct. Iagree to release and hold the Agency harmless for any act of the employer. I also agree to hold the Agency harmless of any claim as a result of any placement in which I am a part.
Applicant's Signature

Clear
Date

MonthDayYear
Date
CONSENT AND AUTHORISATION
I {name}, agree that the first two weeks of pay will be deducted from my first month's salary and paid directly from my employer to the agency to cover adminstrative fees due to the agency for processing my application. This amount will be paid in the second week of my employment.

I understand that Failure to pay this fee will lead to the termination of my employment.
Signed

Clear
Date

MonthDayYear
Date
Should be Empty:

TRAVEL HISTORY

MISCELLANEOUS

NANNY EXPERIENCE

CONSENT AND AUTHORISATION