Personal information

Full Name *

Email *

Mobile Phone *

Date of Birth *

Gender

Male Female

Marital Status

Nationality

Address

Post Code

Number of dependent children

Right to work & checks

Do you hold a valid passport?

Yes No

Passport number

National Insurance number

Do you hold a full driving licence?

Yes No

Are you happy to use your car for work?

Yes No

Have you ever had a criminal record?

Yes No

Do you hold an Enhanced DBS Disclosure?

Yes No

DBS certificate number

Do you smoke?

Yes No

Are you in good health?

Yes No

Position sought

Preferred charge

Sole charge Share charge Any

Duties you are willing to do

Nursery duties only Cleaning Pet care Shopping Light house work Driving Cooking Ironing

Salary expectation

Preferred location of work

Qualifications

NNEB BTEC NVQ Norland Cache Other

Do you hold a current Paediatric First Aid Certificate?

Yes No

First Aid Certificate expiry date

Are you Ofsted registered?

Yes No

Ofsted registration number

Date available to start work

Additional skills

Cooking Swimming Office skills Ride a bike Self defence Horse riding Skiing

Most recent employment

Job Title

Employer's name

Employed from

Employed to

Duties

Reason employment ended

Can we reference check this employer?

Yes No

Previous employment history & any gaps

References

Reference 1 — Name

Reference 1 — Relationship

Reference 1 — Phone

Reference 1 — Email

Reference 2 — Name

Reference 2 — Phone

Reference 2 — Email

About you

Personal Statement

Are you registered with any other agency?

Yes No

How did you hear about us?

Web advertising Search engine Print advertising Recommendation

Documents

Upload your CV

DBS certificate (if you have one)

First Aid certificate (if you have one)

Nanny Application

Personal information

Right to work & checks

Position sought

Qualifications

Most recent employment

References

About you

Documents