01732 851313
info@elizabethhenrynannies.co.uk
01892 836435
07921 456 417
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PARENTS REGISTRATION
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CHILDCARERS REGISTRATION
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Babysitting
BABYSITTING AT HOME REGISTRATION
SPECIAL EVENT BABYSITTING REGISTRATION
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Childcarers Registration
Please click here for our Terms and Conditions of Representation.
Please leave blank:
Title:
First Name:
Last Name:
Address 1:
Address 2:
Town / Village:
County:
Postcode:
Mobile:
Email:
Confirm Email:
D.O.B.
Age:
Nationality:
Marital Status:
Maiden Name:
Dependants and Year of Birth:
Are you seeking a position which will allow you to take your own child to work with you?
Yes
No
Do you have back up childcare arrangements in place?
Yes
No
Please provide any further details which you feel may be relevant to your own childcare arrangements.
Education and Experience
Secondary School Attended:
Year attended from:
Year attended to:
Number of GCSE's taken. Grades A-C:
0
1
2
3
4
5
6
7
8
9
10
Grades C+:
0
1
2
3
4
5
6
7
8
9
10
Number of GCSE's taken. Grades 5 - 9:
0
1
2
3
4
5
6
7
8
9
10
Number of GCSE's taken. Grades 1 to 4:
0
1
2
3
4
5
6
7
8
9
10
Number of A Levels Taken:
0
1
2
3
4
College Attended:
Year attended from:
Year attended to:
Childcare Qualifications
Childcare Qualifications:
NNEB
NAMCW
CACHE2
CACHE3
NVQ2
NVQ3
BTEC
MNT
None of these
Please state any other qualifications:
Do you hold a Food Hygiene Certificate?
Yes
No
How many years Childcare experience do you have?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15+
How many years Sole Charge experience do you have?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15+
Ages of children you have had sole charge of?
0-3 months
3-6 months
6-12 months
1-3 years
3-5 years
5-11 years
11 years+
Have you cared for multiple births before?
Twins
Triplets
Have you cared for a child with Special Needs before?
Yes
No
If Yes please provide details.
Have you cared for a child that has special dietary requirements before?
Yes
No
If Yes please provide details.
Do you hold a DBS Enhanced Disclosure Certificate:
Yes
No
Is your DBS registered with the Update Service:
Yes
No
Please note:
To register with Elizabeth Henry Nannies you are required to hold a DBS Enhanced Disclosure registered with the update service . We can arrange this for you should you not already have one.
Do you hold current Padediatric First Aid Certificate?
Yes
No
Date of issue if held:
Are you currently an Ofsted Registered Nanny?
Yes
No
Date of Registration:
Are you willing to become Ofsted approved?
Yes
No
Do you drive?
Yes
No
Do you own a car?
Yes
No
Are you willing to use your own car for work purposes?
Maybe
Yes
No
Do you hold a clean driving Licence?
Yes
No
If No - please provide details:
Current Employment Details
Are you currently employed?
Yes
No
If yes, when did you start?
If no, when did you leave?
What position do you currently hold:
None
Nanny
Nanny - Housekeeper
Parents Help
Nursery Practitioner
Rota Nanny
Maternity Nurse
Maternity Night Nanny
Other (please state below)
Other position:
If you are working as a Nursery Practitioner which rooms are you currently working in?
Baby room
Toddler room
Pre school room
After school care
If you are looking to resign from your current position, how long is your notice period?
What date are you available to start work?
Ages of children you currently care for?
Child 1
Gender:
Boy
Girl
Age:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16+
Child 2
Gender:
Boy
Girl
Age:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16+
Child 3
Gender:
Boy
Girl
Age:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16+
Child 4
Gender:
Boy
Girl
Age:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16+
Job Requirements
What type of position are you looking for?*:
Full time
Part time
Temporary
What type of position are you looking for?
Sole charge
Shared Care
What type of position are you looking for?
Daily Nanny
Live in Nanny
Parents Help
Baby sitting
Maternity Nurse
Night Nanny
After school care
Nanny - Housekeeper
Special Needs Nanny
Occasional Care
Days Required*:
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Hours prepared to work? eg 7am to 7pm:
Are you available for ad hoc evening babysitting?
Weekends only
Weekdays only
Weekdays and Weekends
From what time?
What duties are you willing to perform?
All house work
Light house work
Childrens rooms only
Pet care
Family laundry
Childrens laundry
Dog walking
Family shopping
Ironing
What is your preferred age range?
0-3 months
3-6 months
6-12 months
1-3 years
3-5 years
5-11 years
11 years+
Maximum number of children to care for?
0
1
2
3
4
No limit
Have you experience of working for a family where a parent works from home?
Would you be interested in working as a temporary Nanny / Parents help in between jobs?
Yes
No
Have you experience of caring for a child with special needs or a disability?
Yes
No
If Yes please provide details.
Do you smoke?
Yes
No
Are you willing to work for a smoking family?
Yes
No
Can you swim?
Yes
No
Do you play a musical Instrument?
Yes
No
If so which instrument:
Do you speak a foreign language?
Yes
No
If so which language:
Do you play a sport?
Yes
No
If so which sport:
Are you happy to cook meat for a family?
Yes
No
Please use the space below to list any hobbies or interests you have, please list at least three:
Do you have any allergies or phobia's that could affect you at work?
Yes
No
Please give details:
Have you, at any time, suffered from mental or physical health problems which could affect your ability to work as a childcarer with sole charge of young children?
Yes
No
Salary / Role Requirements
Please specify your required gross weekly salary or hourly rate:
Please indicate which areas of the UK you are willing to work:
Are you eligible to work in the UK:
Yes
No
Please note that attaching your current CV here will help speed up the process of your registration.
Where possible please attach your current C.V. here:
Alternatively you can email your C.V to:
info@elizabethhenrynannies.co.uk
I certify that the above information I have supplied is accurate to my knowledge and I accept and agree to be bound by the
Terms and Conditions of Representation
.
We at Elizabeth Henry Nannies take your privacy seriously. Please click here for a copy of our
Candidate Privacy Notice
. We will only use your personal information to apply for jobs on your behalf as advertised by Elizabeth Henry Nannies and to properly represent you as legally required by our
Terms and Conditions of Representation
. In order to carry out these obligations however, we will need your email address. Please confirm you are happy for us to contact you by email.
Tick here to confirm you agree to the above statement and are happy to be contacted via email.
I Agree
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