Employment Application
Before completing the form please ensure that you have the following documents to hand: your first aid certificate, two references, your CV, certificates, and driver's license.
About you
Name
*
First Name
Last Name
Date of birth
*
DD/MM/YYYY
Nationality
*
Gender
*
Please Select
Female
Male
Marital status
*
Phone number
*
Address
*
Please include postcode
E-mail
*
example@example.com
Primary language and other languages
*
Please let us know your first language and if you speak other languages fluently
Dependent children
*
If yes please include their age and gender
Do you smoke?
*
Please Select
No
Yes
Do you suffer from any allergies?
*
If yes please give details
Do you have any medical conditions that can affect your ability to work with children?
*
If yes please provide detail
What are your interests and hobbies?
*
Job search
Do you hold a current CPR certificate?
*
Please Select
Yes
No
No but willing to obtain a new one
When does your CPR certificate expire (if applicable)?
DD/MM/YYYY
Are you eligible to work in the US?
*
Please Select
Yes
No
Do you hold a valid passport
*
Please Select
Yes
No
Passport number (if applicable)
Passport country of issue (if applicable)
Do you hold a valid driver's license?
*
Please Select
Yes but I don't have a car for use at work
Yes and I have business insurance cover
Yes but I don't have business cover
No I don't drive
Currently learning to drive
Any convicted crimes?
If yes please provide details
Are you happy to use your car for work?
*
Please Select
Yes
No
Do you have public liability (nanny) insurance?
*
Please Select
Yes
No but willing to obtain
Are you looking for a position that allows you to bring your child to work?
Please Select
Yes
No
Depending on the job requirements
Have you worked as a nanny with your own child in a previous role?
Please Select
Yes
No
Not applicable
When are you able to start?
*
What type of Nanny job are you looking for?
*
How far from home would you be prepared to travel to work?
*
Would you accompany the family on holiday and work trips?
*
Please Select
Yes
No
Unsure
Availability
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Would you work weekends?
*
Please Select
Yes
No
Unsure
What hours would you like to ideally work?
*
Are you flexible with your hours?
*
Please Select
Yes
No
Depending on the job requirements
What would be your ideal job?
*
Would you be able to do the occasional babysitting for the family?
*
Please Select
Yes
No
Are you willing to so some household duties?
*
Please Select
Yes
No
Gross hourly expectation
*
How many years experience do you have working with children?
*
Are you currently working?
*
If yes please provide details
Experience
*
Newborn
Over 5 years
Under 5 years
Twins / Multiples
Special needs
Behavioural difficulties
Learning disabilities
Additional skills
*
Cooking
Administration skills
Horse riding
Swimming
Skiing
Ride a bike
Ironing
Employer 1
Job title
Start / end date of employment
Reasons employment ended (if applicable)
Duties
Employer's Address
Employer's contact number
Employer's email address
example@example.com
Can we contact this employer for a reference?
Please Select
Yes
No
Employer 2
Job title
Duties
Start / end date
Reasons employment ended
Employer's Address
Employer's contact number
Employer's email address
example@example.com
Can we contact this employer for a reference?
Please Select
Yes
No
Employer 3
Job title
Duties
Start / end date of employment
Reasons employment ended
Employer's Address
Employer's contact number
Employer's email address
example@example.com
Can we contact this employer for a reference?
Please Select
Yes
No
Name of school, college or university
Qualification
Start / end date
Name of school, college or university
Qualification
Start / end date
Name of school, college or university
Qualification
Start / end date
Other qualifications
Please include date completed
Additional information
Please let us know if there is anything else you would like us to know
I agree to allow us to process the above personal data to
*
Help me find a new nanny role and share my data with families seeking a new nanny
Disclaimer
*
I confirm that the information on this form is accurate and supplied in good faith to the best of my knowledge
Submit
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