Nanny Registration Form
Before completing the form please ensure that you have the following documents to hand: your first aid certificate, two referee details, your CV, certificates, passport, driving licence and if relevant your DBS and Ofsted registration details.
About you
Name
*
First Name
Last Name
Date of birth
*
DD/MM/YYYY
Nationality
*
Gender
*
Please Select
Female
Male
Marital status
*
Phone number
*
Address
*
Please include postcode
E-mail
*
example@example.com
Mother tongue and other languages
*
Please let us know your first language and if you speak other languages fluently
Dependent children
*
If yes please include their age and gender
Do you smoke?
*
Please Select
No
Yes
Do you suffer from any allergies?
*
If yes please give details
Do you have any medical conditions that can affect your ability to work with children?
*
If yes please provide detail
What are your interests and hobbies?
*
Job search
Do you have an up to date Enhanced DBS?
*
Please Select
Yes
No
If yes please let us know the issue date of your latest enhanced DBS
DD/MM/YYYY
Are you subscribed to DBS update service?
*
Please Select
Yes
No
No but I would like to apply for a new DBS to register on the update service
Name on DBS check, and number (if on update service)
Do you hold a current 12-hour paediatric first aid certificate?
*
Please Select
Yes
No
No but willing to obtain a new one
When does your first aid certificate expire (if applicable)?
DD/MM/YYYY
Are you eligible to work in the UK?
*
Please Select
Yes
No
Do you hold a valid passport
*
Please Select
Yes
No
Passport number (if applicable)
Passport country of issue (if applicable)
National insurance number
Do you hold a valid driving licence?
*
Please Select
Yes but I don't have a car for use at work
Yes and I have business insurance cover
Yes but I don't have business cover
No I don't drive
Currently learning to drive
Any penalties?
If yes please provide details
Are you happy to use your car for work?
*
Please Select
Yes
No
Are you Ofsted registered
*
Please Select
Yes
No
Ofsted number (if applicable)
If you are not Ofsted registered are you willing to do so?
Please Select
Yes
No
Do you have public liability (nanny) insurance?
*
Please Select
Yes
No but willing to obtain
Are you looking for a position that allows you to bring your child to work?
Please Select
Yes
No
Depending on the job requirements
Have you worked as a nanny with your own child in a previous role?
Please Select
Yes
No
Not applicable
When are you able to start?
*
What type of Nanny job are you looking for?
*
How far from home would you be prepared to travel to work?
*
Would you accompany the family on holiday and work trips?
*
Please Select
Yes
No
Unsure
Availability
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Would you work weekends?
*
Please Select
Yes
No
Unsure
What hours would you like to ideally work?
*
Are you flexible with your hours?
*
Please Select
Yes
No
Depending on the job requirements
What would be your ideal job?
*
Would you be able to do the occasional babysitting for the family?
*
Please Select
Yes
No
Are you willing to so some household duties?
*
Please Select
Yes
No
Gross hourly expectation
*
Work experience
You can complete all of these fields or you can send your CV to thelittlenannyagency@gmail.com
How many years experience do you have working with children?
*
Are you currently working?
*
If yes please provide details
Experience
*
Newborn
Over 5 years
Under 5 years
Twins / Multiples
Special needs
Behavioural difficulties
Learning disabilities
Additional skills
*
Cooking
Administration skills
Horse riding
Swimming
Skiing
Ride a bike
Ironing
Employer 1
Job title
Start / end date of employment
Reasons employment ended (if applicable)
Duties
Employer's Address
Employer's contact number
Employer's email address
example@example.com
Can we contact this employer for a reference?
Please Select
Yes
No
Employer 2
Job title
Duties
Start / end date
Reasons employment ended
Employer's Address
Employer's contact number
Employer's email address
example@example.com
Can we contact this employer for a reference?
Please Select
Yes
No
Employer 3
Job title
Duties
Start / end date of employment
Reasons employment ended
Employer's Address
Employer's contact number
Employer's email address
example@example.com
Can we contact this employer for a reference?
Please Select
Yes
No
Education
You can complete these fields or you can send your CV to thelittlenannyagency@gmail.com
Name of school, college or university
Qualification
Start / end date
Name of school, college or university
Qualification
Start / end date
Name of school, college or university
Qualification
Start / end date
Other qualifications
Please include date completed
Additional information
Please let us know if there is anything else you would like us to know
Would you like to join The Little Babysitting Company as a babysitter?
*
Please Select
Yes
No
Would you like to be put on our temporary / emergency / ad-hoc nanny list?
*
Please Select
Yes
No
How did you hear about The Little Nanny Agency?
*
Are you registered with any other agency?
*
Please Select
Yes
No
If yes please state agency names
I agree to The Little Nanny Agency to process the above personal data to
*
Help me find a new nanny role and share my data with families seeking a new nanny
Disclaimer
*
I confirm that the information on this form is accurate and supplied in good faith to the best of my knowledge
Submit
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