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| First name * |
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| Surname * |
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| Address * |
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| Country of residence * |
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| Phone number * |
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Email Address * (this will be used as your login) |
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| Reconfirm Email Address |
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Create a password * (this will be used to login) |
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| Reconfirm password * |
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| This information will be visible on the site. |
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Personal Details |
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| Gender: * |
male
female
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| Date of birth: * |
// (dd/mm/yyyy) |
| Nationality: * |
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| Current Role: * |
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What languages can you speak fluently? *
(hold down ctrl to select more than one) |
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What languages do you have a basic knowledge of? *
(hold down ctrl to select more than one) |
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| If other please specify |
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| What are your hobbies/interests? * |
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| How many brothers/sisters do you have? * |
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| Do you have a Driving License? * |
yes
no
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If yes, how long have you held a Driving License? |
years and
months |
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| Are you suffering from any medical conditions? * |
yes
no
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| If yes, please specify |
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Do you hold a current CRB (Criminal Records Bureau) Certificate? * |
yes
no
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| Valid until : |
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Do you have a criminal record or any legal proceedings against you? * |
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| Qualifications and relevant experience |
Have you ever worked as a Nanny/Aupair before? If so, how many years experience do you have? * |
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| Relevant qualifications: |
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| Do you hold a current First Aid Certificate? * |
yes
no
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| Preferences |
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| Position applied for: * |
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Country you wish to work? *
(hold down ctrl to select more than one) |
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| Any Specific area? |
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| Would you like to work * |
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| What kind of position are you seeking? * |
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| How many children do you wish to care for? * |
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| Do you have a preference towards the age of the childen? * |
yes
no
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If yes, please specify the age group of children you are willing to care for. |
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| Would you accept a position in a one parent family? * |
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| Are you willing to cook and partake in light housework? * |
yes
no
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| Are you willing to drive in the country you will work in? * |
yes
no
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| Are you a smoker? * |
yes
no
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Would you be willing to work in a home where a family member smoked? * |
yes
no
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| Do you dislike or are you allergic to any animals? |
yes
no
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| If yes, please give any details |
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| Your Profile |
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| Please give a brief synopsis of what role you are seeking?* |
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Please enter your tag line here * e.g conscientious nanny, loves children, 5 years experience |
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please tick here to agree to our Terms and Conditions * |
| please tick here to recieve our monthly newsletter |
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| I would like to purchase *
To see what membership includes click here |
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