Your Personal Information
First Name*
Last Name*
Age*
Street Address*
Nearest Town/City
Post Code*
Telephone*
Mobile phone*
Email*
PLEASE RE-TYPE YOUR E-MAIL ADDRESS*
Your date of birth*
Your nationality
Which of the following best describes your status in the UK?
--None-- I hold a UK or EU Passport
I hold a UK Student Visa
I hold a UK Resident's Visa
I hold a UK Working Holiday Visa
I hold a UK Spousal Visa
Other
If you have a Visa how long do you have left on it?
Do you have a UK National Insurance Number?
--None-- YES NO
Which is your first language
Do you speak any other languages? Please select them in order of fluency:
English
French
Spanish
German
Italian
Dutch
Arabic
Mandarin
Japanese
Russian
Other
Are you a smoker?
--None-- Yes, regular Yes, occasional No
Are you a licensed driver in the UK?
--None-- Yes, and I can drive an automatic car
Yes, and I can drive a manual car
Yes, and I can drive both types
No
Are you willing to drive in London?
--None-- Yes No
Have you actually driven for a nanny job before in London?
--None-- Yes No
Do you play a musical instrument? If yes, please specify:
Can you swim?
--None-- Yes, I am a confident swimmer Yes, I can swim but not tha confident No, I cannot swim
If any, which childcare certificates and qualifications do you hold (including First Aid & CRB)?Please press 'ctrl' and left click to select more than one.
Paediatric First Aid Certificate
Uk Enhanced CRB Disclosure
Foreign Police Check
Ofsted Registered
Diploma in Childcare & Education (NNEB)
BTEC Child Studies/Nursery Nursing
CACHE Cert. Childcare & Education
GNVQ Early Years Childcare & Education
Diploma - The Norland Nanny College
Diploma - The Princess Christian College
Diploma - Chiltern Training College
Diploma - Montessori Teaching
Other/Foreign Equivalent Course
If you have attended a Paediatric First Aid Course and got the certificate, please state date you attended the course, otherwise say “No”
If you have you been CRB checked please state when, otherwise say “No”
Have you ever been Ofsted Registered and when? Ofsted registration details:
Would you be willing to have nanny insurance?
--None-- Yes, I have it Yes, willing No
Do you have any allergies or health problems that affected your work in the long term?
Your Future Nanny Job
Why did you choose to be a nanny and what do you love about this job?
What are your strengths as a nanny?
Which type of nanny job are you seeking?
--None-- Live In
Live Out
Both
Would you consider a nanny job abroad?
How many hours per week are you looking to work?
--None-- 56+ hours
46-55 hours
36-45 hours
26-35 hours
16-25 hours
0-15 hours
Please give any more details of the hours you can work (eg which day/s in the week; mornings or afternoons, etc.)
Are you willing to do additional babysitting?
--None-- Anytime Occasionally Never
Are you willing to do some housework?
--None-- Light Just children's All household No
Do you like animals and would you walk a dog?
How long would you travel each way for live-out work?
--None-- N/a Up to 20 minutes Up to 40 minutes Up to 60 minutes Over 60 minutes
Would you stay overnight if necessary?
--None-- Yes Occasionally No
Would you relocate for the right nanny job?
--None-- Yes No
Would you go away on holiday with the family?
--None-- Anytime Once a year Never
Do you have Special Educational Needs experience?
--None-- Yes No
When are you available to start work?
How much net pay do you expect per hour?
--None--
£2 (Au-Pair only)
£3
£4
£5
£6
£7
£8
£9
£10
£11
£12
£12+
Your Nanny Experience
With which age groups do you have experience?
0-12 months old 13 - 23 months old 2 - 4 years old 5 -7 years old 8 - 10 years old 11 - 13 years old 14 years or older
If you have baby experience (0-12 months) , please tell us what you have done:
Established routine Supported breastfeeding Bottle feeding/weaning
Do you have experience with twins or triplets?
--None-- Yes No
How many years of full-time nanny experience do you have?
--None-- 0
1
2
3 - 4
5 - 7
8 - 10
11+
How many years of part-time nanny experience do you have?
--None-- 0
1
2
3 - 4
5 - 7
8 - 10
11+
How many years of other professional childcare experience do you have?Please Note: This does not include nightly babysitting or caring for siblings or family members.
--None-- 0
1
2
3 - 4
5 - 7
8 - 10
11+
Do you have any nanny share experience?
--None-- Yes No
Have you ever helped with homework?
--None-- Yes, often Yes, sometimes No, but would be happy to No
Do you have experience of cooking for children?
--None-- Yes No
Is there any type of food you would NOT be willing to prepare for children?
--None-- No, I am happy with all types of foods Yes
Have you ever organized children in out-of-school activities?
--None-- Yes No
More About You
What are some of your interests/hobbies?
Is there anything else you would like to tell us about yourself that may help us in matching you with the right job?
Your References
Are you still in contact with your previous employer?
--None-- Yes No
How long were you in your last job?
Why did you leave your last job?
Do you have checkable references from your previous employer?
--None-- Yes No
We WILL NOT contact your current employer until you are offered a new job, but please give us two references (contact details for later use only).
Name:
Address:
E-mail:
Telephone:
Relationship (eg. Employer):
Dates of employment:
Reference 2
Name:
Address:
E-mail:
Telephone:
Relationship (eg. Employer):
Dates of employment:
