Nanny Registration
Contact details
First name and last name
*
Gender
Male
Female
Address
*
Email address
*
Home phone
Mobile phone
*
Work phone
Skype
Personal details
Date of birth
*
January
February
March
April
May
June
July
August
September
October
November
December
Place of birth
Nationality
United Kingdom
Austria
Belgium
Bulgaria
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Ireland
Italy
Latvia
Lithuania
Luxembourg
Malta
Netherlands
Poland
Portugal
Romania
Slovakia
Slovenia
Spain
U.S.A
Australia
South Africa
Canada
Other
Marital status
I am...
Single
Married
Engaged
Dependent children
0
1
2
3
4
5
6+
Do you require a position that allows you to bring your child to work?
yes
no
Do you hold a valid passport?
yes
no
Passport number
Passport country of issue
United Kingdom
Austria
Belgium
Bulgaria
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Ireland
Italy
Latvia
Lithuania
Luxembourg
Malta
Netherlands
Poland
Portugal
Romania
Slovakia
Slovenia
Spain
U.S.A
Australia
South Africa
Canada
Other
National insurance number
Driving licence details
Do you hold a full driving licence?
yes
no
Any penalties?
yes
no
Driving licence number
Year test passed
Make and model of vehicle
Are you happy to use your car for work?
yes
no
Security details
Have you ever had a criminal record?
yes
no
Do you hold an Enhanced Disclosure?
yes
no
DBS date
DBS number
Health details
Do you smoke?
yes
no
Are you in good health?
yes
no
Maximum 5 lines.
Position sought
Part-time
Full-time
Live in
Live out
Temporary
Permanent
Nanny
Mothers'/Fathers' Help
Nursery nurse
Maternity nurse
Weekends
Night nanny
Housekeeper
Babysitter
Event nanny
Au pair
Special needs
Behavioural difficulties
Preferred charge
Sole charge
Share charge
Any
Duties desired
Nursery duties only
Light house work
Cleaning
Driving
Pet care
Cooking
Shopping
Ironing
Salary expectation
Gross
Hourly
What date are you available to start work?
Prefered location of work
Select below
Any
Ashburton
Axminster
Barnstaple
Beaworthy
Bideford
Braunton
Brixham
Buckfastleigh
Budleigh Salterton
Chulmleigh
Colyton
Crediton
Cullompton
Dartmouth
Dawlish
Exeter
Exmouth
Holsworthy
Honiton
Ilfracombe
Ivybridge
Kingsbridge
Lifton
Lynmouth
Newton Abbot
North Tawton
Okehampton
Ottery St. Mary
Paignton
Plymouth
Salcombe
Seaton
Sidmouth
South Brent
South Molton
Taunton
Tavistock
Teignmouth
Tiverton
Torquay
Torrington
Totnes
Umberleigh
Winkleigh
Woolacombe
Yelverton
Other
Choose distance
within 10 miles
within 20 miles
within 30 miles
within 40 miles
Any distance
Education and Training
Do you hold a current Paediatric First Aid Certificate?
yes
no
First Aid Certificate expiry date
Are you Ofsted registered?
yes
no
Ofsted registration number
If not Ofsted registered are you willing to do so?
yes
no
Most families require an Ofsted registered nanny
Qualifications
NNEB
Norland
BTEC
Cache
NVQ
Other
Maximum 5 lines.
Experience
Newborn
Under 5 years
Over 5 years
Twins/Multiple
Special needs
Behavioural difficulties
Maximum 5 lines.
Additional skills
Cooking
Office skills
Horse riding
Swimming
Skiing
Self defence
Ride a bike
Employment history
If a full employment history is not provided your application will be dismissed.
We do not use applicant CV's.
Position 1:
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Maximum 5 lines.
Employer's email address
Employer's telephone number
Age of children at the start of the employement
Can we reference check?
yes
no
Position 2:
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Maximum 5 lines.
Employer's email address
Employer's telephone number
Age of children at the start of the employement
Can we reference check?
yes
no
Position 3:
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Maximum 5 lines.
Employer's email address
Employer's telephone number
Age of children at the start of the employement
Can we reference check?
yes
no
Position 4:
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Maximum 5 lines.
Employer's email address
Employer's telephone number
Age of children at the start of the employement
Can we reference check?
yes
no
Position 5:
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Maximum 5 lines.
Employer's email address
Employer's telephone number
Age of children at the start of the employement
Can we reference check?
yes
no
Position 6:
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Maximum 5 lines.
Employer's email address
Employer's telephone number
Age of children at the start of the employement
Can we reference check?
yes
no
Position 7:
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Maximum 5 lines.
Employer's email address
Employer's telephone number
Age of children at the start of the employement
Can we reference check?
yes
no
Position 8:
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Maximum 5 lines.
Employer's email address
Employer's telephone number
Age of children at the start of the employement
Can we reference check?
yes
no
Position 9:
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Maximum 5 lines.
Employer's email address
Employer's telephone number
Age of children at the start of the employement
Can we reference check?
yes
no
Position 10:
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Pick a date using the calendar or manually enter your date as DD/MM/YYYY or MM/YYYY
Maximum 5 lines.
Employer's email address
Employer's telephone number
Age of children at the start of the employement
Can we reference check?
yes
no
Gaps
References
Character or additional reference 1:
Email address
Telephone number
Character or additional reference 2:
Email address
Telephone number
Character or additional reference 3:
Email address
Telephone number
Personal Statement
Use this space to describe your chilcare experience, qualities, hobbies and interests
Which jobs are you interested in? See job page and enter job references here:
Visit our job listing page, see which jobs you are interested in, then enter the job reference codes here
Further information
Are you registered with any other agency?
yes
no
How did you hear from us?
Web advertising
Search engine
Print advertising
Recommendation
* Please tick the box to confirm that you have read and accept the agency
Terms & Conditions
Copyright@2016 - The Parent & Child Nanny Agency.