Name: 

Nationality:

Marital Status:  

No of dependants: 

Date of Birth:    

Driver:  Yes No

Clean Licence:    Yes No  

If no, List endorsements: 

Own Car:   Yes No  

Require Use of Car:    Yes No

Address Line 1: 

Address Line 2: 

Address Line 3: 

Postcode: 

Daytime Tel No:   

Evening Tel No:   

Email: 

Do you have an up to date CRB:       Yes No  

If Yes, which one:  

Date Of Issue of CRB:   

What type of work sought:     Nanny Proxy Nannying Babysitting Temp/Emerg Nanny Mothers Help   

Temporary or Permanent:     Temporary Permanent  

Part or Full Time:                  Part Time Full Time  

If Part Time , No of Days: 

If Temp, what dates available:      

Willing to Work Weekends:    Yes No   

Salary Sought NET:     

Age of children preferred:

Number of Children:   

Are you prepared to do light housework?          Yes No

Do you mind Pets?      Yes No

Can You Swim confidently?   Yes No

Can you cook appropriate food needed for Children?  Yes No     

How many sick days have you taken in the last year? 

What are Your Hobbies?    

What, if anything has annoyed you about previous positions? 

Do you have any medical conditions?    Yes No

If Yes, please explain below:  

Do you have a Childcare Qualification:  Yes No

If Yes, Which One:          

Do you have any other Qualifications: Yes No

If Yes, Which Ones:      

EMPLOYMENT DETAILS:

Employer 1/

Please start with most recent position: 

Start Date: 

Leaving Date:          

Employers Name: 

Address: 

Postcode:  

Contact Numbers: 

Ages & Sex of Children at Start of employment: 

General Responsibilities: 

Salary (When Left): 

Reason For Leaving:     

Employer 2/

Please start with most recent position: 

Start Date: 

Leaving Date:          

Employers Name: 

Address: 

Postcode:  

Contact Numbers: 

Ages & Sex of Children at Start of employment: 

General Responsibilities: 

Salary (When Left): 

Reason For Leaving:     

Employer 3/

Please start with most recent position: 

Start Date: 

Leaving Date:          

Employers Name: 

Address: 

Postcode:  

Contact Numbers: 

Ages & Sex of Children at Start of employment: 

General Responsibilities: 

Salary (When Left): 

Reason For Leaving:     

Employer 4/

Please start with most recent position: 

Start Date: 

Leaving Date:          

Employers Name: 

Address: 

Postcode:  

Contact Numbers: 

Ages & Sex of Children at Start of employment: 

General Responsibilities: 

Salary (When Left): 

Reason For Leaving:     

Upload Your CV cv@aclasschildcare.co.uk