Sunrise Nanny Agency- Nanny Registration Form

Full name *

Full address *

Home telephone number *

Mobile telephone number *

E-mail address *

Date of birth *

Marital status *

What languages do you speak? *

Do you have any allergies or health problems? If 'yes', please provide information below: *

Do you smoke? *

Have you ever been convicted of a criminal offence? If 'yes', please list details: *

Do you hold a CRB/DBS check? *

Date of last CRB/DBS check: *

Do you have a car? *

Can you use your car for work purposes? *

Do you have any children? If 'yes', please provide details: *

Do you require to bring your children with you whilst nannying? *

Do you have experience caring for children with special needs? If 'yes', please list information: *

Number of years childcare experience? *

Current salary? *

Minimum salary required? *

Are you looking to *

Are you looking for a *

Are you prepared to do light housework? *

Are you prepared to cook? *

Are you prepared to help care for an animal *

Please use this space to describe duties you are comfortable with: *

How many hours are you looking to work each week? *

Which area(s) would you prefer to work in? *

When are you available to start working as a nanny? *

Please use this space to tell us about your ideal nanny position: *

When are you available for interview? *

How did you hear about Sunrise Nanny Agency? *

Do you know any other Nannies who may be interested in registering with the agency? If 'yes', please provide details: *

Are you interested in registering with our babysitting agency? *

Please use this space to tell us about yourself, hobbies, interests or anything that you feel will support your application: *

Please provide details of all childcare courses and qualifications, your results and when you completed them: *

We require details of 3 childcare references, please provide details of their name, address, e-mail address, telephone numbers and how you know the person: *

Please send a copy of your CV and current photograph to admin@sunrisenannyagency.com : *

Do Sunrise Nanny Agency have any current posts you are interested in. If yes please list the reference number or details. *

I confirm all the information I have provided on this form is correct and complete: *

I provide permission for Sunrise Nanny Agency to contact my references and previous employers: *

I will always follow Sunrise Nanny Agency's Terms and Conditions: *

I understand that any information provided being incorrect may lead to the termination of my employment and registration with Sunrise Nanny Agency: *

Print name *

Date *