Candidates

Your Name (required)

Address (required)

County (required)
---GloucestershireOxfordshireWarwickshireWiltshireWorcestershire

Postcode (required)

Your Email (required)

Telephone No (required)

Date of Birth (required)

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Personal Details

Marital Status
---SingleMarriedPartner

Nationality

National Insurance No.

Do you have any children?
---YesNo

If so, what are their ages?

Do you speak any other Languages? If so what language/s

Do you smoke?
---YesNo

Do you have any allergies?
---YesNo

If so, what are your allergies and to what extent do they affect you?

Do you have any medical conditions that may affect your work with children?

What are your hobbies and interest's?

How would you best describe yourself?

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Childcare Qualifications

Name and date of training organisation

Start and End dates of training

Qualifications achieved

Child care experience and time scale

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Details of Last Three Positions

Position (required)

Start and End date (required)

Age of children

Duties

Reason for leaving

Employer contact details

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Enhanced Criminal Records Check

Do you have any convictions?
---YesNo

If yes please state the conviction and date

You must disclose all conviction including time spent

Do you hold a current CRB?
---YesNo

If yes, please answer the following

Date of Issue

CRB number and issuing body

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First Aid Training

Do you hold a valid UK driving licence?
---YesNo

Do you have any convictions past or present on your licence, if so please list

Do you have access or own your own vehicle?
---YesNo

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Job Requirements

Are you currently seeking work?
---YesNo

When are you available to start work?

Would you accept Temporary work?
---YesNo

What days are you able to work?

How far are you willing to travel?

Do you have any problems being around pets?
---YesNo

Expected Salary?

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Preference of Duties

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Please upload the following documents.

Your CV

Qualifications

CRB Certificate

First Aid Certificate

Driving License

Written References

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Where did you hear about Pitter Patter Nannies?

I certify that the information on this application form to be true and correct and give permission to Pitter Patter Nannies to contact and verify references that I have been supplied. I agree to treat all information regarding any position as confidential.
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