Address

Date of birth:

Visa Status:
---UK or EU PassportUK Resident's VisaUK Spousal VisaOther

Job Required:
---Live-In NannyLive-Out NannySchool Pick Up & Drop OffHomework HelpHalf Term, Holiday or Emergency Cover

Desired Weekly Hours:
---36+ hours26-35 hours16-25 hours

Years of experience working with children:
---01-23-45-78-1011+

Age Group Experience:
---0 – 30 days of age1 month – 2 years2 – 6 years6 – 12 years12 years or older

Have you worked with special needs children?:
---YesNo

Do you have any medical conditions that may affect your ability to work as a nanny?:
---YesNo

Driver's License:
---YesNo

Languages Spoken:
EnglishArabicSpanishFrenchOther

Do you smoke?:
---YesNo

Willing to do light housework:
---YesNo

Prepared to go on holiday with family:
---AnytimeOnce a yearNever

Earliest Available Date:

Childcare References:

Name:

Relationship:

Email:

Phone No:

Name:

Relationship:

Email:

Phone No:

How did you hear about us?:
---WebAdvertisementWord of mouthGoogleSocial MediaOther

By completing this form you have agreed to our terms and conditions.