Candidate Registration Form
Name
*
First Name
Last Name
D.O.B
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
Postcode
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Job Category
*
Nanny
Rota
Night
Maternity
Temporary
Preferred role?
*
Live In
Live Out
Full Time
Part Time
Temporary (3 months or less)
Long Term Temporary (3 months - 12 months)
Maternity/Night Nanny
Desired Salary Gross (£)
*
What’s are the minimum hours you are willing to work?
*
Right to work within the UK?
*
Yes
Yes, with a visa
No
Do you have experience with any of the following?
*
Newborn’s
SEN Children
Twins
Triplets
How long is your current notice period?
*
What ages do you feel most comfortable working with?
*
What of the following are comfortable with doing?
*
Light house work
Food shopping
Care of pets
Running errands for the household
Household cooking
Do you hold a UK driving license?
*
Yes
No
What countries do you hold a valid passport for?
*
UK
EU
Other
Do you hold a valid DBS?
*
Yes
No
Do you hold an up to date first aid certificate?
*
Yes
No
Do you smoke?
*
Yes
No
What languages do you speak?
*
The amount of children you are comfortable working with?
*
Do you have any disabilities that could limit you?
*
Yes
No
If so, what are they?
Can you swim?
*
Yes
Yes, but not confidently
No
CV
*
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References
We will not contact your reference's until you’ve had your interview and we’ve agreed to move forward
Reference’s Name
*
First Name
Last Name
References Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference’s Email
*
example@example.com
Reference’s Name
*
First Name
Last Name
References Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
References Email
*
example@example.com
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Signature
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