karen@aupairsnationwide.co.uk
01283 712188
Are you looking to become a nanny, mother's help, housekeeper or live in couple? Please fill in our online form
Your Name (required)
Marital Status: SingleMarriedDivorcedSeparatedLiving Together
Date Of Birth:
Your Address (required)
Your County (required)
Post Code:
Your Daytime Phone Number (required)
Your Evening Phone Number (required)
Your Mobile Phone Number
Your Email (required)
Skype id:
Next of Kin:
Address:
Relationship:
What sort of position do you require?: NannyParent HelperEither
Day / Live In / Either: DayLive InEither
What type of Position?: PermanentTemporaryEither
Preferred Location:
Number of children preferred:
Ages of children preferred:
When could you start?:
Minimum salary required:
Can you drive?: YesNo
Do you have your own car?: YesNo
Have you had any previous convictions?: NoYes
If 'YES' please give details:
Do you have a valid passport?: YesNo
Can you speak any other languages?: NoYes
Do You Smoke?: YesNo
Do you like animals?: YesNo
Do you have any allergies?: NoYes
Do you have any special dietary requirements?: NoYes
What hobbies do you have?:
Are you in good health?: YesNo
If 'No' please give details:
Please list all GCSE and 'A' Level passes (Or equivalent)
Subject:
Grade:
Year:
School/College:
Child care Qualifications
Qualification:
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?: YesNo
Employer Name 2:
Employer Address 2:
Telephone Number 2:
Position Held 2:
If "no" please supply details of two people whom we may ask for a reference (these must not be family)
Name:
Name 2:
Address 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.
I give consent for Au Pairs Nationwide (Richmond & Twickenham) to process, collect and store my data from this form in a secure and protected manner which is GDPR compliant. I understand that I have the right to withdraw it any time.