Nanny application Nanny Application Form   Name:   Address:   DOB:   Phone:   Mobile:   Email:   Drivers licence: Yes - Full No Probationary   Licence number:   Qualifications: Midwife Nurse Qualified Child Care Worker Nanny Studing one of the above   Years of experience: 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10+ Years   Availability:  MONDAY - DAY  TUESDAY - DAY  WEDNESDAY - DAY  THURSDAY - DAY  FRIDAY - DAY  SATURDAY - DAY  SUNDAY - DAY   Availability:  MONDAY - AFTERNOON/EVENING  TUESDAY AFTERNOON/EVENING  WEDNESDAY AFTERNOON/EVENING  THURSDAY AFTERNOON/EVENING  FRIDAY AFTERNOON/EVENING  SATURDAY AFTERNOON EVENING  SUNDAY AFTERNOON/EVENING   Night nanny availability:  MONDAY  TUESDAY  WEDNESDAY  THURSDAY  FRIDAY  SATURDAY  SUNDAY   Type of employment wanted: Permanent Full Time Permanent Part Time Casual Temporary assignments Night Nanny only Any   Which of the following ages do you have experience:  Newborn  6-24 months  2-5 Years  6-12+ Years   Have you ever cared for twins or more?: Yes No   Are you prepared to do house keeping duties: Yes No   Do you have a first Aid or CPR certificate?: Yes-First Aid Yes-CPR Yes-Both No   Are you currently employed?: Yes-Full Time Yes-Part Time Yes-Casual No Studing No   Most recent employers name:   Your position:   Type of employment: Full Time Part Time Casual   Duties:   Legnth of employment:   Contact name:   Contact phone number:   May we contact them?: Yes No   Do you have a current police clearance?: Yes No No but willing to get one   Do you have a working with childrens certificate?: Yes No NO but willing to get one   Coments:

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