Name

Age

Date of Birth

Nationality


Visa Status

Length of time in UK (foreign nationals only)

Marital Status and number of children

Address

Phone number

Email

Number of years childcare experience

Please describe your personality

Current occupation (please give details of ages of children, date position commenced and reason for leaving)

Details of previous employment (including dates, ages of children, reasons for leaving)

Education and Qualifications including First Aid

Driving (e.g. full clean British driving licence and own car)

Health/allergies/smoking (e.g. good health, no allergies, non smoker)

Cooking skills

Swimmer Yes No Please select

Interests

Available for:
full time immediately full time with notice part time
live in live out temporary permanent

Willing to travel with family Yes No Possibly Please select

Expected salary

CRB Enhanced Disclosure (police check) obtained?
Clear In Progress Willing to apply

Available for babysitting? Yes No Please select

References