Registration Form

Full Name*

First NameMiddle NameLast Name
Date of Birth
Visa or Residency status

Perm Resident of Australia or NZWorking Visa457 or spouse visastudent visa
WWCC Number
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Age
Years working with Children
E-mail*
Mobile Number*
Address*

Street number & name

Suburb

CityState / Province

Post code
Next of Kin contact

Area CodePhone Number
PLEASE ATTACH CV

Upload a File

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Training

CERT IIIDIPLOMABA Early Childhood (Degree)BA Dip Ed Prinary/SecondaryMontessoriNursing/Midwife
whooping cough vaccination status

YesNo
Covid Vaccination

YesNoIn the process of
First Aid Trained

YesNo
First Aid trainer Provider
First Aid HLTAID003 or HLTAID004 and CPR HLTAID001 certificate accepted
Expiry date
First Aid Certificate copy

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If you have a Police Check - please upload

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Childcare Training certifications

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Languages other than English
Driving
Do you have a good driving record?
Number of Years Driving
Please add a photo of you drivers licence

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Own Car

YesNo
Work Type Desired

Full Time NannyPart Time NannyAfter School HoursBefore School HoursTemp NannyBabysitting
Up to how many days?
Days Available

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Locations

City/CBDInner WestEast SubsNth ShoreLower Nth ShoreSouthern SubsHills District
Can you swim?

YesNo
Can you lift a 3 yr old

YesNo
Will you work along side a parent

YesNoSome of the time
Are you open to light household duties - not deep cleaning, just day to day tidy

YesNo
Describe yourself in few words.
What are your strengths when it comes to caring for and working with Children
Do you have any experience working with Children with Special or Additional Needs?

YesNo
If you ticked 'Yes' please tell me a little bit about your experience :)
Describe your ideal Nanny position? ie. Days and hours, that you would ideally like to fill including how many hours you'd like to work per week and start date
Are you allergic to domestic animals?
What Nanny Agencies are you registered with?
Previous Childcare & Nanny work history
Most recent - Nanny Family or Centre*

First name/sLast name/s
Is this employer aware that you looking for work?
E-mail
Employment dates
Phone Number

Area CodePhone Number
Address
Ages of Children when you started
Employment Type

Part TimeFull TimeBefore and/or After school hoursBabysittingTemp
Sole Charge role
Reason role ended
Where/How did you find this role?
If you have a reference please upload here

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Agency reference evaluation form

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Referee 2

First name/sLast name/s
E-mail
Employment Dates
Phone Number

Area CodePhone Number
Ages of Children
Employment Type

Part TimeFull TimeBefore and/or After school hoursBabysittingTemp
Sole Charge role
Reason role ended
Where/How did you find this role?
If you have reference please upload it here

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Agency reference eval form

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Referee 3

First name/sLast name/s
E-mail
Employment Dates
Where/How did you find this role?
Phone Number

Area CodePhone Number
Ages of Children
Employment Type

Part TimeFull TimeBefore and/or After school hoursBabysittingTemp
Sole Charge role
Reason role ended
Where/How did you find this role?
If you have a reference please upload it here

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agency reference evaluation form

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By agreeing, you are bound by these terms.

All referee details provided will be contacted and/or recontacted at the agencies discretion.

It is an offence to provide false referee details and or references.

Private and/or direct booking are not permitted.

similarly, please do not accept direct bookings from friends of families through your Blue Ribbon Nannies family.

Once you start working with a family, referred by this agency, If there are changes to you curcumstances, please contact the agency ASAP.

Please ensure that your NSW WWCC & first aid remains current.
I have read & agree to these terms

YesNo
Signature

Clear
Type a question
Should be Empty:

Previous Childcare & Nanny work history