Sunset Babysitting Agency- Babysitter Registration Form

Full name *

Full address *

Home telephone number *

Mobile telephone number *

E-mail address *

Date of birth *

What language(s) do you speak? *

Do you have any allergies or health problems? If 'yes', please provide details 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 drive? *

Do you have a car? *

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

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

Are there any domestic animals you feel uncomfortable with? If 'yes', please provide details: *

Which area(s) are you prepared to babysit in? *

What is your babysitting availability? *

Number of years childcare experience? *

What is your main occupation? *

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

Please use this space to inform us of all current/previous childcare employment, position held, your roles, responsibilities and salary (starting with the most recent): *

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

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: *

Which 5 statements best describe your characteristics, personality and lifestyle: *

When are you available for interview? *

How did you hear about Sunset Babysitting Agency? *

Are you interested in registering with Sunrise Nanny Agency? *

Do you know any other Babysitters or Nannies who maybe interested in registering with our agencies? If 'yes', please provide details: *

Please send your CV to admin@sunsetbabysittingagency.com : *

Please send an up to date photograph of yourself admin@sunsetbabysittingagency.com : *

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

I give permission for Sunset Babysitting Agency to contact my references and previous/present employers: *

I understand that any information provided being incorrect may lead to termination of my registration with Sunset Babysitting Agency: *

I understand I must never smoke before or whilst babysitting: *

I understand all positions are subject to an Enhanced Criminal Records Bureau (CRB) Check: *

I agree all information provided to be by Sunset Babysitting Agency is confidential. I will never pass it on to a third party: *

I agree to Sunset Babysitting Agency's Terms and Conditions: *

Print name *

Date *