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Childcarers Registration
Please click here for our Terms and Conditions of Representation
* Indicates the mandatory fields.
Your Details
Title*
First Name*
Last Name*
Address 1*
Address 2
Town / Village*
County*
Postcode*
Telephone*
Mobile
Email*
Confirm Email*
Date of Birth*
Age*
Nationality*
Marital Status
Maiden Name
Dependants and ages
Are you seeking a position which will allow you to take your 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
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
College Attended*
Year attended from*
Year attended to*
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
Have you cared for a child that has special dietary requirements before?*
Yes
No
Do you hold a Criminal Records Beauru (CRB) Enhanced Disclosure?*
Yes
No
Date of issue if held
Please note: To register with Elizabeth Henry Nannies you are required to hold a CRB Enhanced Disclosure. We can arrange this for you should you not already have one.
Do you hold a Peadiatric First Aid Certificate?*
Yes
No
Date of issue if held
Are you currently Ofsted Registered?*
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 to any of the above questions please provide details
Current Employment Details
Are you currently employed?*
Yes
No
If yes, when did you start?
If no, when did you leave?
If you are looking to hand in your notice, how long is your notice period?
What date are you available to start work?
What position do you currently hold*
None
Nanny
Mothers Help
Nursery Nurse
Other (please state below)
Other postion
If you are working as a Nursery Nurse which rooms are you currently working in?
Baby room
Toddler room
Pre School room
After school care
Ages of children currently Nanny for?
Gender
Age
Child 1
Boy
Girl
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16+
Child 2
Boy
Girl
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16+
Child 3
Boy
Girl
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16+
Child 4
Boy
Girl
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16+
If the options above do not explain your current employment please provide details here
Job Requirements
What type of position are you looking for?*
Full time
Part time
Temporary
Sole charge Nanny
Mothers 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 preffered 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?*
1
2
3
4
No limit
Would you consider working for a family where a parent works from home?*
Would you be happy caring for a child with special needs or a disability?*
Yes
No
Please specify your required net weekly salary or hourly rate
Please indicate which areas you are willing to work:
Would you be interested in working as a temporary nanny / mother’s help in between jobs?*
Yes
No
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
Do you have any allergies or phobia's that could affect you at work?*
Yes
No
Please give details
Please use the space below to list any hobbies or interests you have, please list at least three*
Medical History
Do you have or have you had in the last 5 years had any physical problems requiring specialist Referral?*
Yes
No
Do you have or have you had any mental health problems in the last 5 years?*
Yes
No
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
Are you taking any regular prescribed medicines?*
Yes
No
Do you have any medical requirements which may effect your work?*
Yes
No
If you have answered yes to any of the above please give details below
Where possible please attach your current C.V. here
Please note that attaching your current CV here will help speed up the process of your registration
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