NANNY REGISTRATION FORM

Address

Date of Birth

Visa Status
—Please choose an option—UK or EU PassportUK Resident's VisaUK Spousal VisaOther

Job Required
—Please choose an option—Live-In NannyLive-Out NannySchool Pick Up & Drop OffHomework HelpHalf Term, Holiday or Emergency Cover

Desired Weekly Hours
—Please choose an option—36+ hours26-35 hours16-25 hours

Years of experience working with children
—Please choose an option—0 – 30 days of age1 month – 2 years2 – 6 years6 – 12 years

Age Group Experience
—Please choose an option—0 – 30 days of age1 month – 2 years2 – 6 years6 – 12 years

Have you worked with special needs children?
—Please choose an option—YesNo

Do you have any medical conditions that may affect your ability to work as a nanny?
—Please choose an option—YesNo

Driver's License
—Please choose an option—YesNo

Languages Spoken
EnglishArabicSpanishFrenchOther

Do you smoke?
—Please choose an option—YesNo

Willing to do light housework
—Please choose an option—YesNo

Prepared to go on holiday with family
—Please choose an option—AnytimeOnce a yearNever

Earliest Available Date

Name

Relationship

Phone Number

Email

Name

Relationship

Phone Number

Email

Where did you hear about us
—Please choose an option—WebAdvertisementWord of MouthGoogleSocial MediaOther

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