(Please apply as a nanny in Great Britain only if you have minimum 2 years of childcare experience beforehand or if you are

a kindergarten or a school teacher in your own country)

Mothers help/Nanny application form

First name(s): Surname: Address: Tel nr: Email address: Post code, city & country: Nationality: When is the best time to contact you? Date and place of birth: Age: Nationality: Marital status: Religion: Do you attend religious services? Passport: Place of issue & expiration date? Country of choice: Earliest date I could depart: Latest date I could depart: Length of stay? Latest date for return in your home country? Do you have a driving license? With practice, how long? Have you ever had a serious car accident?

Can you cycle? Do you swim? Do you smoke? If yes are you a heavy smoker? Do you play any musical instrument? Do you ride horses? What are your hobbies and interests? Do you want to meet new people in England? Would you accept a placement with a British family who has another ethnic origin? Preferences regarding the age group of the children: 0- 1 1- 2 2- 3 3- 4 4- 5 5- 6 6-11 11-17

How many children would you like to care for? How many in total? Would you also consider going to a single parent family? Would you be prepared to look after a child with disabilities?

What is the maximum number of working hours would you accept working a day?

Details about your knowledge of foreign languages: How well do you speak English language? 1. = Very well 2. = I can converse well3. = It goes for simple communication 4. = Rather bad 5. = Only few 6. = Very basic For how many years did you learn English? What other languages do you speak? Details about your land family: Mothers name: Fathers name: Profession of the mother: Profession of the father: Residence town: Country: Do you have sisters and brothers; if yes what old are they? How would you describe your character? How would you describe your strong points in taking care of children? Details about your health: Do you suffer of physical disabilities or other illnesses? Your height: Your weight: Are you vegetarian? Do you have a special diet? Education: School type: Profession: Present occupation: DUTIES INCLUDED: What was age group did you gain your childcare experience with?

Where and over what period of time did you gain your childcare experience? Have you taken a course in first aid? Do you prefer a family without pets? If yes why? Would accept looking after pets? Describe your housekeeping skills (if any): Describe any other talents or skills you may have in caring for children: Do you like cooking? Do you accept a family living in? London London suburb Manchester Manchester suburb Birmingham Birmingham suburb Any other town from Great Britain (minimum 50.000 inhabitants) Any other small or medium town from Great Britain or countryside areas Do you prefer any city o area? Why do you want to become a child minder in the UK? Have you ever been away from home for longer time? What are your future plans? Do you have social, religious, political commitments? Are you supported by your parents in your project to become a child minder abroad? Do you have enough money for your ticket to travel to the UK? Do you agree that your contact details to be passed on to other child minders? Do you have friends or relatives in the UK? Do you have completed this application form without any other help? How did you hear about our agency?

I acknowledge hereby, that the above is the truth. Place & date: Signature and/or full name

Nota : beneficiarului i se interzice expres

sa ia contactul direct cu angajatorul sau cu partenerii contractuali ai furnizorului fara incuviintarea in scris a furnizorului. Dupa acceptarea de catre firma partenera conversatia se desfasoara intr o maniera transparenta si neechivoca.Orice mail trimis va fi trimis si furnizorului.