Name*

    Address

    Nationality

    Date of Birth

    MarriedSingleDivorcedSeparatedWindowed

    Home tel no

    Mobile

    E-mail

    Next of Kin or Permanent Address if different from above

    Next of Kin telephone no (incl. code)

    Nature of work required, ie:

    NannyMother's HelpMaternity Nurse

    Do you need to give notice, if yes how long?

    Available from (Date)

    Available to (Date)

    Live inLive out

    Which Days? (Please select the days you are available)

    MondayTuesdayWednesdayThursdayFridaySaturdaySunday

    Net Salary Required £

    per week

    Present/Last Salary £

    per week

    Where do you want to work?

    Central LondonOuter LondonOverseas

    Do you have a valid Passport?

    Do you have a Work Permit/Working Holiday Visa for the UK?

    Passport No

    Do you speak any other languages?

    Fluent?

    Conversational?

    Do you Drive? Manual or automatic.

    Own a Car?

    Do you have any driving convictions?

    Do you Smoke?

    Would you take a Non-Smoking position?

    Please tick the relevant boxes

    Do you like animalsSkiSwim

    Can you Cook?

    For adults?For Children?

    Will you Iron?

    For adults?For Children?

    Are you prepared to do Light Housekeeping Duties?

    Are you experienced with the following

    Babies Under 3 Months?Toddlers?School Age Children (5-16)?

    Can you Change Nappies?

    Can you Prepare Feeds?

    If not, are you prepared to learn?

    How many children would you prefer to care for?

    Are you prepared to travel with the family?

    What age children do you PREFER?

    Do you have any children of your own? If yes please specify age.

    Number of brothers and sisters and ages

    Are you in good health? If not, give appropriate details

    Do you have a valid police check?

    Have you ever been in trouble with the Police? If yes, give details

    Licenced by the Department of Employment. Licence No SE(A)568

    DETAILS OF SCHOOLS AND COLLEGES ATTENDED

    University or Colleges Attended

    Address

    Dates

    Qualifications & Certificates

    PREVIOUS WORK EXPERIENCE - WHETHER OR NOT IT IS APPLICABLE TO CHILDCARE

    Present position

    Name, Address & Telephone No of Previous Employer

    Dates Month/Year

    Position Held Daily/Live In

    Ages of Children at Start

    Salary

    Reason for Leaving

    Please provide as much information as possible.

    Does your present employer know you are leaving?.

    Position 2

    Name, Address & Telephone No of Previous Employer

    Dates Month/Year

    Position Held Daily/Live In

    Ages of Children at Start

    Salary

    Reason for Leaving

    Please provide as much information as possible.

    Position 3

    Name, Address & Telephone No of Previous Employer

    Dates Month/Year

    Position Held Daily/Live In

    Ages of Children at Start

    Salary

    Reason for Leaving

    Please provide as much information as possible.

    Position 4

    Name, Address & Telephone No of Previous Employer

    Dates Month/Year

    Position Held Daily/Live In

    Ages of Children at Start

    Salary

    Reason for Leaving

    Please provide as much information as possible.

    Position 5.

    Name, Address & Telephone No of Previous Employer

    Dates Month/Year

    Position Held Daily/Live In

    Ages of Children at Start

    Salary

    Reason for Leaving

    Please provide as much information as possible.

    We require details on all previous employers, whether childcare related or not. All references will be checked with the exception of present employers if notice has not been given. We cannot accept references from relatives, but character references are useful. Full addresses and telephone numbers are, therefore, essential.
    Please upload the following documents, one photograph, references and scans of any childcare certificates. Please give details of all work experience including non-child related positions for all time starting with your first position.

    .

    Full name

    Today's Date

    How did you hear of us?

    Name, Address and Telephone Number of Emergency Contact

    Please upload your DBS here.

    Please upload a photo ID here. (Drivers licence/passport and visa if relevant)

    Please upload your First Aid Certificate here.

    Please upload scans of any qualifications.

    Please upload scans of any employment references.

    Please upload a recent photo.

    The work for which you are applying involves access to children. It is therefore exempt from the Rehabilitation of Offenders
    Act 1974 and you are obliged to disclose all pending prosecutions or convictions that you may have. No convictions will be
    considered “spent”.

    “I certify that this information is true and correct. I consent to my personal data being included on a computerised database and to its
    use in order to secure me employment. I consent to my CV being forwarded to clients via electronic mail and I understand the risk
    of my CV being unintentionally altered during this process. I consent to references being passed on to potential employers. I also
    realise that any information given to me about potential employers or another applicant is highly confidential, and I agree not to
    divulge any such information to anyone, without authority from The Nanny Service. Should I obtain a position
    through your Agency directly or indirectly or be re-employed at any stage, I will notify you immediately and notify the employer
    concerned that the Agency’s fee will be applicable on all occasions.”

    I agree with the terms of this application.