Print this form and return to Nanny Seekers at the above address
NAME:
ADDRESS:
TELEPHONE NUMBER: E-MAIL ADDRESS:
DATE OF BIRTH:
NATIONALITY:
EDUCATION DETAILS:
OCCUPATION:
PROFESSION OF YOUR FATHER:
PROFESSION OF YOUR MOTHER:
NUMBER OF BROTHERS/SISTERS AND THEIR AGES:
WHAT HOBBIES DO YOU HAVE?
IS YOUR ENGLISH: POOR FAIR GOOD EXCELLENT
DO YOU HOLD A DRIVING LICENCE? YES NO
ARE YOU WILLING TO DRIVE IN THE UK? YES NO
DO YOU LIKE PETS? YES NO
CAN YOU SWIM? YES NO
DO YOU SMOKE? YES NO
DO YOU ACCEPT ANY RACE? YES NO
DO YOU ACCEPT ANY RELIGION? YES NO
ARE YOU WILLING TO DO:
LAUNDRY / BABYSITTING / COOKING / HOUSEWORK
HAVE YOU EVER TAKEN CARE OF CHILDREN BEFORE? YES
NO
HOW MANY CHILDREN WOULD YOU LIKE TO CARE FOR?
1 CHILD 2 CHILDREN 3 CHILDREN OR MORE
WHAT AGED CHILDREN WOULD YOU LIKE TO CARE FOR?
BABY 1 – 5 YEAR OLDS 5 – 10 YEAR OLDS OLDER
DO YOU ACCEPT A SINGLE PARENT FAMILY? YES NO
DO YOU WISH TO ATTEND COLLEGE? YES NO
PLEASE DESCRIBE THE FAMILY YOU WOULD LIKE TO STAY WITH:
DO YOU HAVE ANY SPECIAL REQUIREMENTS?
DO YOU WISH TO BE IN: A VILLAGE TOWN ANYWHERE
WHEN ARE YOU AVAILABLE TO START?
HOW LONG ARE YOU ABLE TO STAY?
PLEASE SIGN AND DATE THE APPLICATION FORM AND SEND IT TO NANNY SEEKERS
WITH
TWO REFERENCES AND A RECENT PHOTO.
THANK YOU.
SIGNATURE: DATE: