Application form for a nanny Application form for a mothers help

Application Form for Nannies and Mother's Helps

Personal Details

Surname *

First Names

Address *

Country *

Post / Zip Code *

Home telephone number *

Mobile telephone number

Fax Number

Email address *

Emergency contact name *

Relationship to you *

Emergency contact number *

Date of birth *

Age *

Place of birth *

Nationality *

Gender * Female
Male

Passport / ID Number *

Passport / ID date of issue *

Passport date of expiry (Please enter not applicable if you do not hold a passport) *

Is visa work permit necessary? *

Position Required

Are you looking for a position that is * Live In
Live Out
Either

Do you wish to be * A Nanny
Mothers Help
Either

Minimum salary accepted per week or per hour (NET) *

Availability

Available to start from *

Minimum length of job required *

Maximum length of job required *

Your Family and Yourself

Fathers occupation

Mothers occupation

Number and ages of brothers

Number and ages of sisters

Marital Status * Single
Married
Divorced
Widowed

Do you have children? * Yes
No

If so, their ages

Number and Ages of Nieces/Nephews

Previous work experience

Level of spoken English

Your level of education, and any school, childcare, or first aid certificates you may hold

Details of your present occupation

For Mother's Helps

Have you done any housework? Yes
No

How much and what

Are you willing to assist with the following?

Cooking Yes
No

Washing Yes
No

Ironing Yes
No

Housework Yes
No

Have you been a Mothers Help before? For how long

Give brief details about what this job involved

(IN ADDITION YOU MUST ATTACH A CV / JOB HISTORY, AND EXPLAIN IN DETAIL ANY EXPERIENCE YOU HAVE OF CHILDCARE, INCLUDING BABYSITTING, AS WELL AS ANY GENERAL HOUSEWORK YOU MAY HAVE DONE.)

For Nannies

Have you been a Nanny before? For how long?

Give details about what this job involved

Are you willing to assist with the following as part of your job if they were related to the care of the children?

Cooking Yes
No

Washing Yes
No

Ironing Yes
No

Your preferences (for both Nannies and Mother's Helps)

Will you travel with a family if required? Yes
No

Do you have any visa / passport restrictions on travel? Yes
No

What are these restrictions?

Do you speak any other languages?

I am happy to work with children

Tick all that apply

0-1 years Yes
No

1-3 years Yes
No

3-5 years Yes
No

5-10 years Yes
No

10+ years Yes
No

I do not mind Yes
No

I am happy to help with a physically disabled child Yes
No

I am happy to help with a mentally disabled child Yes
No

I am happy to work in a family

2 adults with children Yes
No

Single father Yes
No

Single mother Yes
No

With a different religion to my own Yes
No

Will you work with a family with pets? Yes
No

Are there any animals you really dislike?

Would you help with pets as part of your job? Yes
No

More details about you

Do you have any allergies? If so, to what, and to what extent?

Are you under medical treatment for any condition? Please explain

Are you vegetarian? Yes
No

If yes, would you work with a family who was not vegetarian Yes
No

If no, would you work with a family who was? Yes
No

Are there any foods you never eat?

Do you smoke? Yes
No

How many per day?

Will you promise not to smoke at work or in the presence of the children? Yes
No

What hobbies and interests do you have? Can you swim? play sports? love dancing?

Driving

Do you have a driving licence valid for the UK? * Yes
No

When did you get your driving licence?

Do you have any points or endorsements? Yes
No

If so, how many and for what?

Do you have your own car? * Yes
No

With rear seat belts? Yes
No

Have you ever driven in the UK? Yes
No

Will you drive in the UK if given practice/lessons by the host family (for experienced drivers only) * Yes
No

And Finally

Do you hold any Nanny Insurance Cover? Yes
No

Would you like any advice on this? Yes
No

Do your family approve of you coming to London? Yes
No

Do you have friends or family currently in this area? Where are they, and what are they doing?

How did you hear of this agency? *

What other agencies have you contacted?

Do you wish to register and come to London together with a friend Yes
No

Give Friends name

NOW YOU HAVE COMPLETED THIS FORM YOU WILL NOW NEED TO PROVIDE:

PHOTOGRAPHS (4 PASSPORT SIZED, SIGNED BY YOU ON THE BACK)
PROOF OF YOUR IDENTITY ( PASSPORT / ID DOCUMENT)
MINIMUM OF 2 REFERENCES (NOT FROM FAMILY MEMBERS)
ANY RELEVANT CERTIFICATES (BOTH CHILDCARE AND FIRST AID)
CRB DISCLOSURE / POLICE CHECK CERTIFICATE
DRIVING LICENCE (IF APPLICABLE)
A CV, GIVING FULL DETAILS OF YOUR WORK HISTORY AND DUTIES.

IF YOU ARE AN APPLICANT APPLYING DIRECTLY TO NORMA LEWIS DOMESTIC STAFF AGENCY THROUGH THE WEBSITE, YOU WILL NEED TO FAX / SCAN / E-MAIL /POST THESE DOCUMENTS TO NORMA LEWIS URGENTLY, SO THAT YOUR APPLICATION MAY BE SUCCESSFULLY AND LEGALLY PROCESSED.

DECLARATION

SUBMITTING THIS FORM IN ANY FORMAT TO THE NORMA LEWIS DOMESTIC STAFF AGENCY SHOWS THAT YOU HAVE READ, UNDERSTOOD, AND ACCEPTED THE FOLLOWING DECLARATION, AND WILL ABIDE BY IT.
IF DOWNLOADED, THIS DECLARATION IS TO BE SIGNED IN DUPLICATE, 1 COPY FOR NORMA LEWIS, AND 1 FOR THE APPLICANT:

I DECLARE THAT TO THE BEST OF MY KNOWLEDGE, ALL THE ABOVE INFORMATION IS CORRECT AND TRUE. SHOULD ANY INFORMATION CHANGE, I WILL NOTIFY NORMA LEWIS AGENCY IMMEDIATELY.

ONCE I HAVE BEEN OFFERED A POSITION, AND AFTER I HAVE ACCEPTED, I WILL NOTIFY THE AGENCY IMMEDIATELY.
I WILL NOT START MY NEW POSITION UNTIL AFTER I HAVE RECEIVED MY CONFIRMATION OF PLACEMENT FROM THE AGENCY.

I WILL PAY FOR ANY TELEPHONE BILLS INCURRED DURING MY PLACEMENT AS A NANNY

IF I AM UNHAPPY AND WISH TO LEAVE MY PLACEMENT I WILL TELEPHONE NORMA LEWIS. (TELEPHONE 0208 950 8611, MOBILE 07956 894589).
I WILL HAND IN A MINIMUM OF 14 DAY'S NOTICE TO THE FAMILY.

I UNDERSTAND THAT I CAN BE GIVEN NOTICE, OR SUMMARILY DISMISSED IF:

I FAIL TO ABIDE BY THIS AGREEMENT

I HAVE GIVEN FALSE INFORMATION ON MY APPLICATION FORM

I START MY PLACEMENT BEFORE RECEIVING MY OFFICIAL CONFIRMATION FROM THE AGENCY.

I BREAK THE LAW, OR ACT IN A WAY THAT ENDANGERS THE CHILDREN IN MY CARE.

Name *

Date *

GENERAL INFORMATION

What Is A Nanny And What Is A Mother's Help

Openings For Agents

Agents Agreement

Testmonials

Families / Jobs Available Now

Applicants Available Now

Useful Contacts And Links

Contact Us

FOR APPLICANTS

FOR FAMILIES

Application Form for Nannies and Mother's Helps

Personal Details

Position Required

Availability

Your Family and Yourself

For Mother's Helps

Are you willing to assist with the following?

(IN ADDITION YOU MUST ATTACH A CV / JOB HISTORY, AND EXPLAIN IN DETAIL ANY EXPERIENCE YOU HAVE OF CHILDCARE, INCLUDING BABYSITTING, AS WELL AS ANY GENERAL HOUSEWORK YOU MAY HAVE DONE.)

For Nannies

Are you willing to assist with the following as part of your job if they were related to the care of the children?

Your preferences (for both Nannies and Mother's Helps)

I am happy to work with children

I am happy to work in a family

More details about you

Driving

And Finally

DECLARATION

GENERAL INFORMATION

What Is A Nanny And What Is A Mother's Help

Openings For Agents Agents Agreement Testmonials Families / Jobs Available Now Applicants Available Now Useful Contacts And Links Contact Us FOR APPLICANTS

FOR FAMILIES

Application Form for Nannies and Mother's Helps

Personal Details

Position Required

Availability

Your Family and Yourself

For Mother's Helps

Are you willing to assist with the following?

(IN ADDITION YOU MUST ATTACH A CV / JOB HISTORY, AND EXPLAIN IN DETAIL ANY EXPERIENCE YOU HAVE OF CHILDCARE, INCLUDING BABYSITTING, AS WELL AS ANY GENERAL HOUSEWORK YOU MAY HAVE DONE.)

For Nannies

Are you willing to assist with the following as part of your job if they were related to the care of the children?

Your preferences (for both Nannies and Mother's Helps)

I am happy to work with children

I am happy to work in a family

More details about you

Driving

And Finally

DECLARATION

Openings For Agents

Agents Agreement

Testmonials

Families / Jobs Available Now

Applicants Available Now

Useful Contacts And Links

Contact Us

FOR APPLICANTS