Registration Form For Nannies Forename Surname Date Of Birth Nationality Address Telephone Number Email Marital Status Number of Children How did you hear about our Agency? Do you hold a Driving License? (if any points please state how many and reason below) Do you own a car? If so would you be happy to use it for work? Do you smoke? Do you suffer from any allergies? If so please give details below Can you swim? Do you like cooking? What are your hobbies and interests? Are you normally in good health? If not please give details below. Do you hold a current valid UK Working visa? Are you willing to do some household duties Qualifications:- School / College / University Qualifications Achieved Month and Year Completed Do you have an update DBS Check? Please provide reference number. Do you have an up to date first Aid Certificate? Do you have any other relevant qualifications? Work Experience:- Placing your most recent job at the top, please list your employment history in order. You must be able to provide written references for all your childcare positions. Period From & To (Month & year) Description Salary Job Search:- When are you able to start work? What type of Nanny job are you looking for? How far would you be prepared to travel to work? Would you be able to travel with the family? Would you be able to work weekends? Would you be able to do occasional babysitting in the evenings? Can you be flexible with your hours? What ages of children do you have experience with? What would your ideal job be? What makes you a good Nanny? How did you hear about The Northern Nanny Agency? Signed:- Print:- Date:-
