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Nanny Form by mvr5

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									                                      Nanny Registration Form
                                      Please complete clearly, using a BLACK ball-point pen or on a PC


Basic Information

First name/s
Surname
Date-of-birth
Nationality
Work permit                   Not required             Held              Required
Address



Postcode
Telephone number/s
E-mail address

Driving licence                     Yes                 No                Points
Years held                    Under 1 year         1 – 5 years         Over 5 years

Qualifications (Please list childcare and other qualifications. We can arrange first-aid training)

Dates              Qualifications                                                       Results / Grades




First-aid certificate               Yes                 No               Expired
Date course taken

Experience (Please state how many years experience you have with each age group)

Number of years
Age groups                   Under 2 years          2 – 5 years        5 – 16 years

Special skills               Sign language      Attachment deficit     Special needs

Criminal Record Bureau (CRB) Check (We can arrange this for you if necessary)

Certificate held                    Yes                 No               Expired
Date on certificate

Ofsted Registration (We can arrange this for you if necessary)

Ofsted registered                   Yes                 No               Expired
Date of registration

Smiles Nanny Agency – Nanny Registration Form (English)                                       Page 1 of 5
Languages Spoken (Please indicate ALL that apply and ADD any other languages you speak)

English                  Native speaker        Fluent            Basic
German                   Native speaker        Fluent            Basic
French                   Native speaker        Fluent            Basic
Spanish                  Native speaker        Fluent            Basic
                         Native speaker        Fluent            Basic




                         Native speaker        Fluent            Basic

Ideal Employer (Please indicate ALL that apply)

Family size preferred       1 child          2 children          More
Ages preferred           Under 2 years      2 – 5 years      5 – 16 years

Working Location (Please indicate ALL that apply)

NW London                  Preferred       Would consider    Do not want
SW London                  Preferred       Would consider    Do not want
NE London                  Preferred       Would consider    Do not want
SE London                  Preferred       Would consider    Do not want
Central London             Preferred       Would consider    Do not want




                           Preferred       Would consider    Do not want

Working Terms (Please indicate ALL that apply)

Live-in                    Preferred       Would consider    Do not want
Live-out                   Preferred       Would consider    Do not want

Full-time                  Preferred       Would consider    Do not want
Part-time (days)           Preferred       Would consider    Do not want
Part-time (evenings)       Preferred       Would consider    Do not want
Weekends                   Preferred       Would consider    Do not want
Babysitting                Preferred       Would consider    Do not want
General housework           Will do        Would consider    Do not want
Cooking for family          Will do        Would consider    Do not want
Dog walking                 Will do        Would consider    Do not want
Caring for other pets       Will do        Would consider    Do not want

Soul charge                Preferred       Would consider    Do not want
Parent/s present           Preferred       Would consider    Do not want
Combination                Preferred       Would consider    Do not want

Minimum salary (£)
These figures are       GROSS (Inc. tax)   NET (After tax)   Self-employed




Smiles Nanny Agency – Nanny Registration Form (English)                          Page 2 of 5
Contract (Please indicate ALL that apply)

Permanent                   Preferred         Would consider         Do not want
2 Years                     Preferred         Would consider         Do not want
1 Year                      Preferred         Would consider         Do not want
6 Months                    Preferred         Would consider         Do not want
Temporary                   Preferred         Would consider         Do not want

Date available from
Notice required
Trial preferred              1 Week              2 Weeks                 1 Month

Discipline

Describe how you
would discipline a
2 year old for
having a tantrum


Describe how you
would discipline a
5 year old who
refuses to eat

Describe how you
would discipline a
13 year old who
distracts you while
you are driving

Activities (Please list 5 suitable activities for each of your chosen age groups)

     Age groups              Under 2 years                 2 – 5 years              5 – 16 years


      Activity 1




      Activity 2




      Activity 3




      Activity 4




      Activity 5



Smiles Nanny Agency – Nanny Registration Form (English)                                   Page 3 of 5
Personal profile (Please write a brief description of yourself)
Example words: Friendly, helpful, patient, calm, understanding, professional, reliable, dedicated,
fluent, experienced, positive, creative, determined, firm…




Hobbies & Interests (Please list your hobbies and interests)




What do you enjoy most about being a nanny?




Why should parents choose you rather than another nanny?




Why are you leaving your current position?




Other information (Please include any other information that you feel is relevant)




Smiles Nanny Agency – Nanny Registration Form (English)                                    Page 4 of 5
References (Please give details of two previous employers who can be contacted for a reference)

                                     Reference 1                               Reference 2
Name
Position
Company
Address



Postcode
Telephone number/s
E-mail address

Statement

I hereby confirm that the information that I have provided on this form is correct.

I authorise Smiles Nanny Agency to distribute my details to potential employers and to include my
photograph and profile on the company’s website / other publicity materials.

I will notify Smiles Nanny Agency immediately if I accept any job offers or if I cease to be available
for work for any other reason.




Signed


Date




                                           PHOTOGRAPH
                  Please attach a RECENT photograph of your HEAD and SHOULDERS




                                                    PLEASE POST THIS FORM TO

                                                        Smiles Nanny Agency
                                                          30a Golders Way
    You can also send your
                                                            Golders Green
       photograph to us
   on disk, CD or by e-mail,                                  LONDON
    in any of the following                                   NW11 8JX
          file formats:
      .jpg .bmp .tif .gif                                           OR

                                                               E-MAIL TO

                                                 nannies@smilesnannyagency.com



           If you have any queries regarding this form, please call Steve on 07891 923191

Smiles Nanny Agency – Nanny Registration Form (English)                                      Page 5 of 5

								
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