Nanny and Nurse – Registration Form

Welcome to Empire Nannies

We Introduce the Finest Nannies and Maternity Nurses to families
in London, throughout the UK and Worldwide

Thank you for considering Empire Nannies.

You can contact us on:

+44 (0)203 633 0571

info@empirenannies.co.uk

Thank you for choosing Empire Nannies, we look forward to being of assistance. We require all candidates to fill in our registration form and please attach an up-to-date Curriculum Vitae. On receipt of your completed registration form, we will contact you to discuss your specific work requirements and arrange a time to interview.

*Required
Personal details
Title
Full Name*
Address
Street Address Address Line 2 City County Postcode Country
Date of Birth
DD slash MM slash YYYY
Telephone Number
Mobile Telephone Number*
Email*
Enter Email Confirm Email
Skype ID
Number of dependants
Type of passport
Do you have permission to work in the UK?
- Yes
- No
What is your first language?
Qualifications and Experience
Do you hold a current DBS Enhanced Disclosure?
- Yes
- No
Do you hold a current Paediatric First Aid Certificate?
- Yes
- No
Please give details of your qualifications
Number of years of childcare experience?
Please enter a number from 5 to 40.
Preferred number of children you wish to care for?
Preferred ages of children in your care
What type of work are you looking for?
What type of accommodation do you prefer
- Live in
- Live out
Would you work occasional weekends?
- Yes
- No
In which geographical location would you prefer to work?
When are you available for work?
What are your salary requirements?
Please give details of your previous experience?
Other Personal Information
Do you speak a second language?
- Yes
- No
Please give details of other languages spoken
Do you drive?
- Yes
- No
Do you have a full driving licence?
- Yes
- No
Do you have any driving convictions?
- Yes
- No
Please give details of any driving convictions
Do you have any criminal convictions?
- Yes
- No
Please give details of any criminal convictions
Do you smoke?
- Yes
- No
Do you ski?
- Yes
- No
Do you swim?
- Yes
- No
Do you like animals?
- Yes
- No
Please give details of any interests, sports and hobbies
Health
Are you in good health?
- Yes
- No
Please give details of any health issues
Do you have any allergies?
- Yes
- No
Please give details of any allergies
Do you have any dietary requirements?
- Yes
- No
Please give details of any dietary requirements
Please attach a recent CV
Accepted file types: doc, docx, pdf, odt, Max. file size: 2 MB.
Where did you hear about Empire Nannies?
*
- Empire Nannies takes your privacy seriously. In order to carry out these obligations, however we will need your email address. Please confirm you are happy for us to contact you by email, without which we may not be able to proceed.
Please click here for a copy of our candidate privacy policy. We will only use your personal information to apply for jobs on your behalf as advertised by Empire Nannies and to properly represent you as legally required by our terms of representation (please click here for our terms and representation).
*
- I confirm that I have read the Privacy Policy and happy to be contacted via email
*
- Submitting this form indicates your acceptance of our
  Terms of Business.
Phone
This field is for validation purposes and should be left unchanged.

Welcome to Empire Nannies

We Introduce the Finest Nannies and Maternity Nurses to families in London, throughout the UK and Worldwide

Personal details

Qualifications and Experience

Other Personal Information

Health

We Introduce the Finest Nannies and Maternity Nurses to families
in London, throughout the UK and Worldwide