| Full name: |
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| Maiden name: |
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| Married: |
Yes
No |
| Date of birth: |
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| Current age: |
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| Nationality: |
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| Do you need a Visa? If so, how long is it valid? |
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| Home address: |
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| Preferred contact telephone number: |
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| Email address: |
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| Is your health good? |
Yes
No |
| Do you have children? |
Yes
No |
| If yes, please could you tell, age, sex |
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| In which areas would you like to find a nanny position? |
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| Your are looking for: |
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| If you prefer a live-in position, please describe the accommodation and what else you expect to get: |
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| How would you describe your personality? |
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| If part-time, which days would you prefer: |
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| Sole charge position only: |
Yes
No |
| If the position is live-in, are you willing to travel with the family? |
Yes
No |
| Number of years experience as a child carer: |
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| Qualifications: |
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| What other languages can you speak? |
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| Can you play any musical instruments? |
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| Do you have CRB? |
Yes
No |
| Do you have First Aid? If so please state when it expires: |
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| Have you had a situation before where you had to use your First Aid skills? If so, could you give us the details? |
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| Are you Ofsted registered? |
Yes
No |
| If not, would you be willing to register? |
Yes
No |
| Who is your ideal employer? |
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| Can you provide your last three employer’s names and telephone numbers as a reference? |
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| How many children would you be comfortable looking after? |
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| What age group do you prefer to look after? |
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| What kind of indoor and outdoor activities do you like to do with children between 9 months - 5 years old? |
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| Can you drive in the UK? |
Yes
No |
| Do you have a car? |
Yes
No |
Would you be happy to use your own car to get to work, and transport the children in your car?
(The family would contribute towards petrol cost) |
Yes
No |
| Do you have relevant insurance on your car to use it for work? |
Yes
No |
| If you haven’t got a car, how would you get to work? |
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| How is your time keeping? |
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| Availability |
Immediately
Notice Required |
| How many hours would you be happy to work per day? |
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| Expected net salary? Per month or per week |
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Would you be able to baby-sit for your new employer?
(There are some candidates who are very busy with their own personal life therefore they can not do extra baby-sitting during the week or weekends) |
Yes
No |
| What would you say about your cooking skills? |
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| Can you swim? |
Yes
No |
| Do you smoke? |
Yes
No |
| Do you understand that smoking, drinking and/or using drugs is strictly not permitted at work? |
Yes
No |
What level of housework are you willing to undertake?
(e.g. only nursery duties, light housework, shopping etc.) |
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| What is your current position? |
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What is the reason for you leaving your current position?
(if this is the case) |
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| Would you be interested in nanny-sharing with another family? |
Yes
No |
| Are there any other circumstances you feel we should be aware of? |
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| How did you hear of Stella's Nannies? |
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