Nannie's Online Registration Form
Personal Details      
Title * Date of Birth
First name * Age
Middle name Nationality
Last name * Passport/ID Card Number
Gender Passport Expiry Date
Language Spoken Religion
Language Spoken 2 Language Spoken 3
       
Address   Contact Details  
Address Line 1* Phone *
Address Line 2 Mobile
Town * Fax
Post Code * Email *
Country *    
       
Placement Details      
Start Date How long are you available for? (months)
Please tick all that apply
After School
Au-Pair
Daily
Housekeeper
Maternity Nanny
Mothers Help
Nanny
Night Nanny
 Permanent
Temporary
Live-out
Live-in
Hours Sole Charge Shared Charge
       
Education and Experience
Please, give a brief description of your education, the subjects you have studied and enjoyed, your qualifications and any other information you concider useful
How many years have you worked as a nanny?
What is your level of written/spoken English? Poor Fair Good Very Good Excellent
Do you have a recognized first Aid certificate? Yes No
Do you have a current CRB disclosure? Yes No
Are you OFSTED registered? Yes No
       
Childcare and Work Experience
Work Experience 1
Work Experience 2
Work Experience 3
Please select the age groups of children you would like to work with
0-9 months
10 months to 2 years
2 years to 3 years
3 to 4 years
5 to 7 years
8 to 10 years
over 10 yers
       
Driving
Do you have a driving license? Yes No  
Would you drive on duty? Yes No  
       
Health
Do you smoke? Yes No If yes, how many per day?
If you smoke, would you be prepared to
not smoke in the family home?		 Yes No  
Do you have any
illnesses or injuries?		 Yes No If yes, please give details
Do you have any
allergies?		 Yes No If yes, please give details
Are you a vegetarian? Yes No Would you accept a non-vegeterian family? Yes No
Can you swim? Yes No    
       
Area Preferences
UK Overseas Both
Country of preference?    
       
Traveling Experience
Have you travelled to
other countries before?		 Yes No If yes, please give details
Have you lived away
from home before?		 Yes No If yes, please give details
Have you been to,
or are you in, the UK		 Yes No If yes, please give details
Are you able to attend
an interview in London?		 Yes No If yes, please give details
       
Other Interests
Could you please describe your other interests, hobbies and pastimes
       
Picture, CV, First Aid, Other
CV doc, xls, pdf files only
First Aid doc, xls, pdf files only
Picture jpg, gif files only
Reference 1 doc, xls, pdf files only
Reference 2 doc, xls, pdf files only
       
How did you hear about A2Z Childcare?    
       
   
  * mandatory fields