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Nanny/housekeeper application form
Firs name:
Middle name:
Last name:
Gender:
Date of birth:
Nationality:
Address:
Home telephone:
Mobile:
Email address:
Religion:
Ethnic Origin:
What date do you
wish to start?
What is the latest date
that you can start?
Please give a brief
description of your
education:
What is your level
of spoken English?
Little Speaking
Fair Understanding
Good Reading
Fluent Writing
Do you have a driving
licence?
Yes NO
Will you drive if the
family ask you?
Yes NO
What is you childcare
and Family home
experience:
Would you consider
a family with:
0 children?
1-3 children?
4+ children?
Which age of children
will you care for?
0-1 years old
1-3 years old
4-8 years old
8+ years old
Would you accept a
family from different
religion?
Yes NO
Is there any type of
family you would not
accept?
Are you prepared to
carry out the
following duties?
Cleaning Yes NO
Cooking (for the children) Yes NO
Ironing? Yes NO
Gardening? Yes NO
Can you please describe
your interests, hobbies
and pastimates?
Could you please indicate below- what days you would like to work and roughly which hours each day?
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:
All the information you give us on this form will help us to find the best family for you. Once a family have been identified in accordance with your completed application a sum of £80.00 will be required from you which you need to pay within 10 working days. Can you please send us by post the doctors certificate to say that you are fit and healthy, 2 reference from people that you have worked for/looking after/helping with their children. Please also send us a picture with you and the children you previously cared or for. You should also write a letter introducing yourself and your background for the family.
By clicking the submit button confirms that you have read and understand all the above, you are honest and truthful with your answers and that you accept our terms and conditions.
 
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