RICHMOND & TWICKENHAM AU-PAIRS AND NANNIES To print out and fax this form CLICK HERE
APPLICATION FORM To be completed by the Nanny/Parent Helper
Name:		Marital Status:
Address:		Date of Birth:
		Telephone Number:
		Email Address:
Next of Kin:		Address:
Relationship:

What sort of position do you require?

Preferred Location:

Number of children preferred: Ages of children preferred:

When could you start? Minimum salary required:

Can you drive? Do you have your own car?

Have you had any previous convictions? If 'YES' please give details:

Do you have a valid passport?

Can you speak any other languages? If 'YES' please give details:

Do you smoke? Do you like animals?

Do you have any allergies? If 'YES' please give details:

Do you have any special dietary requirements? If 'YES' please give details:

What hobbies do you have?

Are you in good health? If 'NO' please give details:

Please list all GCSE and 'A' Level passes (Or equivalent)

Subject Grade Year School/College

Child care Qualifications

Qualification Year College Attended

Please give details of your last two employers

Name:

Name:

Address: Address:

Telephone Number: Telephone Number:

Position held: Position held:

Dates of employment,
from/to: Dates of employment,
from/to:

Ages of children: Ages of children:

May we contact them for a reference? May we contact them for a reference?

If "no" please supply details of two people whom we may ask for a reference (these must not be family)

Name:

Name:

Address: Address:

Telephone Number: Telephone Number:

Relationship: Relationship:

NB: Nannies or Parent Helpers are not charged for this service. We do our utmost to find suitable placements for our staff but cannot guarantee that employment will be found.

If any of the above information is misleading or untrue in anyway, we reserve the right to remove the applicant from our register of employment.

Declaration: I hereby declare that the information on this form is correct and may be used by Richmond & Twickenham at their discretion.

What sort of position do you require?
Preferred Location:
Number of children preferred:		Ages of children preferred:
When could you start?		Minimum salary required:
Can you drive?		Do you have your own car?
Have you had any previous convictions?		If 'YES' please give details:
Do you have a valid passport?
Can you speak any other languages?		If 'YES' please give details:
Do you smoke?		Do you like animals?
Do you have any allergies?		If 'YES' please give details:
Do you have any special dietary requirements?		If 'YES' please give details:
What hobbies do you have?
Are you in good health?		If 'NO' please give details:

Please list all GCSE and 'A' Level passes (Or equivalent)
Subject	Grade	Year	School/College

Child care Qualifications
Qualification		Year	College Attended

Please give details of your last two employers
Name:		Name:
Address:		Address:


Telephone Number:		Telephone Number:
Position held:		Position held:
Dates of employment, from/to:		Dates of employment, from/to:
Ages of children:		Ages of children:
May we contact them for a reference?		May we contact them for a reference?
If "no" please supply details of two people whom we may ask for a reference (these must not be family)
Name:		Name:
Address:		Address:


Telephone Number:		Telephone Number:
Relationship:		Relationship:
NB: Nannies or Parent Helpers are not charged for this service. We do our utmost to find suitable placements for our staff but cannot guarantee that employment will be found.
If any of the above information is misleading or untrue in anyway, we reserve the right to remove the applicant from our register of employment.
Declaration: I hereby declare that the information on this form is correct and may be used by Richmond & Twickenham at their discretion.