Need-a-Nanny? Press then
Employee Registration form
Please mail this form to:

Need-a-Nanny?
1 Eden Gardens
Rushyford
County Durham
DL17 0SL UK
Don't forget to include a current CV and passport photograph.
PLEASE ENSURE YOUR NAME IS PRINTED CLEARLY ON THE BACK OF THE PHOTO
Personal Details
Your email address: _________________________________________
Full name: _________________________________________
Nationality: _________________________________________
Address 1: _________________________________________
Address 2: _________________________________________
Town: _________________________________________
County: _________________________________________
Postcode: _________________________________________
Country: _________________________________________
Home telephone: _________________________________________
Mobile phone: _________________________________________
Date of birth: Day: Month: Year:
Marital status: Single: Married: Divorced:

 

Further information
Do you hold a driving license?: Yes: No:
Do you own a car?: Yes: No:
Any driving convictions?: Yes: No: If yes, give details
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Do you smoke?: Yes : No:
Do you have any allergies?: Yes: No: if yes, give details:
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Do you have any health problems?: Yes: No: if yes, give details:
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What are your hobbies and interests?: _________________________________________
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Do you have a current police check?: Yes: No:
If no, would you be willing to have one?
Yes:
No:
Have you any criminal convictions?: Yes: No: if yes, give details:
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Employment
Type of employment: Please tick as many as you would consider:
Nanny: Mother's help:
Permanent: Temporary:
Full Time: Part time:
Live in: Live out:
Date available: Day: Month: Year:
Location preferences: _________________________________________
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Would you work overseas?: Yes: No:
Would you consider a nanny share?: Yes: No:
Preferred ages range for children: _________________________________________
Any other employment preferences: _________________________________________
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Education
Schools attended (with dates): _________________________________________
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Qualifications: _________________________________________
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College/University (with dates): _________________________________________
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Qualifications: _________________________________________
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Previous employment (last 3 employers if applicable)
Name & address of last employer: _________________________________________
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Dates (begun and ended): Begun: Ended:
Brief description of duties: _________________________________________
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Reason for leaving: _________________________________________
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Name & address of previous employer 2: _________________________________________
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Dates (begun and ended) 2: Begun: Ended:
Brief description of duties 2: _________________________________________
_________________________________________
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Reason for leaving 2: _________________________________________
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Name & address of previous employer 3: _________________________________________
_________________________________________
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Dates (begun and ended) 3: Begun: Ended:
Brief description of duties 3: _________________________________________
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Reason for leaving 3: _________________________________________
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