Babysitting and Dinner Party De-stress - Application form.

Please note - Incomplete forms may result in a delay in processing.

If you would prefer to print out this form and return to us in the post then please click here.

Your Details













Your Availability

1. Tell us what days and evenings you will be available for babysitting work?








4. Please state the areas you are prepared to work:


About You

1. What is your prefered age group?







2. Are you prepared to work with special needs children? Yes  No 

3. Are you prepared to work in a household with animals? Yes  No 
If NO, please state which animals are unacceptable:

4. Do you smoke? Yes  No 
If YES, would you expect to smoke during working hours? Yes  No 

5. Have you had any serious illnesses other than the usual childhood ailments? Yes  No 
If YES, please give details:

6. Do you have any allergies? Yes  No 
If YES, please give details:

7. Do you have diabetes? Yes  No 


Your Experience and Qualifications

1. Please enter any previous experience of working with children:

2. Certificates (e.g. CRB, First Aid, NVQ etc):


References

Please enter the names and addresses of two people who are willing to provide references for you. They must NOT be relatives and at least one should be that of a previous employer. We may contact your referees when processing your application.











Finally

6. Have you ever been convicted of a criminal offence? Yes  No 
If YES, please give details:

How did you hear about us?

Data Protection In completing this form you will be disclosing personal information to representatives of Wentworth Nannies to enable them to determine a suitable employer. The representatives may share this information between themselves and with potential employers. As far as possible, they will keep this information confidential and secure. However, applicants should be aware that Wentworth Nannies may be required by law or regulatory authority to disclose this information in certain circumstances.