carers registration form

Please enter your details below and we will then contact you to arrange for a personal interview. Fields marked with * are compulsory

Username:*
Password:*
Confirm Password:*
Email:*
First name:*
Last name:*
Address:*
City:*
County (UK only):*
Postcode:*
Phone:
Mobile:
Fax:

Personal Information

Country of birth:*
First Language:*
Others languages:
Date of birth:*
Height (cm):*
Weight (Kg):*
Number of brothers:
Number of sisters:
Do you like dogs?:
Do you like cats?:
Religion:
Can you swim?:*
UK driving licence?:*

Qualifications and Experience

Professional Qualifications:
Norland NVQ2 NAMCW Cache3
Princess Christian NVQ3 MNT NNEB
Chiltern ADCE Cache2 BTEC
Other
Ages of children that you have cared for:
0-3 months 1-3 years 5-12 years
3-12 months 3-5 years 12+ years
Total experience (in years):*
Are you CRB checked?:*
First Aid certificate?:*
Do you have a UK work visa?:*

Position Required

Type:*
Role(s): *
Nanny Au pair Housekeeper/parents help
Maternity nurse Childminder Babysitter
Preferred age group(s) to care for: *
0-3 months 1-3 years 5-12 years
3-12 months 3-5 years 12+ years
Max no. of children?:*
Live-in carers only?:*
Preferred Area:*
Minimum daily salary (£):*
Availability date:*

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