Application form To Become A Nanny, Mothers Help, Housekeeper or Live In Couple

Application Form For Nannies, Mother's help
Housekeepers and Live in Couple's

Are you looking to become a nanny, mother's help, housekeeper or live in couple? Please fill in our online form

Name:
Marital Status:
Date of Birth:
Address:

County:
Post Code:
Daytime Phone No:
Evening Phone No:
Mobile No:
E-mail Address:
Next of Kin:
Address:
Relationship:
What sort of position do you require?
Day / Live In / Either
What type of Position?
Preferred Location:
Number of children preferred:
Ages of children preferred:
When could you start?
Minimum salary required:
Can you drive?
Do you have your own car?
Have you had any previous convictions?
If 'YES' please give details:
Do you have a valid passport?
Can you speak any other languages?
If 'YES' please give details:
Do you smoke?
Do you like animals?
Do you have any allergies?
If 'YES' please give details:
Do you have any special dietary requirements?
If 'YES' please give details:
What hobbies do you have?
Are you in good health?
If 'NO' please give details:
Please list all GCSE and 'A' Level passes (Or equivalent)
Subject
Grade
Year
School/College
Child care Qualifications
Qualification
Year
College Attended
Please give details of your last two employers
Employer Name :
Employer Address:
Telephone Number:
Position held:
Dates of employment, from/to:
Ages of children:
May we contact them for a reference?
Employer Name 2:
Employer Address 2:
Telephone Number 2:
Position held:
Dates of employment, from/to:
Ages of children:
May we contact them for a reference?
If "no" please supply details of two people whom we may ask for a reference (these must not be family)
Name:
Address:
Telephone Number:
Relationship:
Name: 2
Address 2:
Telephone Number 2:
Relationship 2:
NB: Nannies or Parent Helpers are not charged for this service. We do our utmost to find suitable placements for our staff but cannot guarantee that employment will be found.
If any of the above information is misleading or untrue in anyway, we reserve the right to remove the applicant from our register of employment.
Declaration: I hereby declare that the information on this form is correct and may be used by Richmond & Twickenham at their discretion.

Call: 01283 538 921

karen@aupairsnationwide.co.uk

Au Pair And Nanny Agency