Nannies of St James -- A Very Reliable Nanny Agency--Nanny Profile


		Nannies of St James 100 New King's Road London SW6 4LX + 44 (0) 845 658 1961 nanniesstjames@aol.com

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Nanny Profile Form
Personal Details
Title* Surname* First Name* Other Names
Address 1* Address 2
City* County* Postcode* Country*
Home Telephone* Work Telephone Mobile Email Address*
Date of Birth* Nationality* Religion Marital Status*
Employment Sought
Position Type Daily/Live-in If temporary, for how long When could you start
Salary Required, Net per week Prefered number of children Age range Do you prefer sole charge?
Are you willing to undertake any of the following: Cooking Light housework Take over in parent's absence

Education
Start and finish date	School/Colleges attended	Examinations passed
Start Date Finish Date
Start Date Finish Date
Start Date Finish Date

Employment
Start and finish date	Name, address, telephone number and E-mail address of employer	Job title or description of duties	Number of children and ages
Start Date Finish Date
Reason for leaving
Start Date Finish Date
Reason for leaving
Start Date Finish Date
Reason for leaving
Start Date Finish Date
Reason for leaving
Start Date Finish Date
Reason for leaving
Start Date Finish Date
Reason for leaving
Other Information
Do you drive Licence No Year of test
Have you any convictions (driving or other)/ Please specifiy
Can you swim Do you smoke How many per day?
Do you speak any foreign languages? (please indicate degree of proficiency)
Have you any dependants? if so please give details
Are you in good health? Date of last medical examination (we will require an up to date medical certificate)
Please give details of any medication taken and any allergies.
Do you have any special dietary requirements? Do you like animals?
Please detail your hobbies/interests.
How did you hear of Nannies of St James? Are you registered with other agencies?
Other relevant information and requirements.
Passport No Date and place of issue
Details of current work visas Height Weight
Have you lived or worked abroad before? Please give details.
Fathers Name Occupation
Fathers work telephone Home Telephone Fathers Address
Mothers Name Occupation
Mothers Address
Name of other next of kin Relationship to you Occupation
Address of next of kin Work telephone Home telephone
Declaration
I certify that the information supplied on this electronic form is true and accurate and grant Nannies of St James and its affiliates permission, without predjustice, to use the information at their discretion. Furthermore, I am willing to allow Nannies of St James to verify any references supplied if they should consider it necessary. I agree to treat all information given to me with regard to vacant positions as confidential and not to pass names and addresses of potential employers to employees, or employees to employers. Should I obtain a position through this agency, directly or indirectly, I will notify you at once and notify the employer concerned that the agency fee will be applicable on all occasions. Tick the box to acknowledge the above conditions Type in your surname to electronically sign the form
Once you have submitted the form, a representative from the agency will contact you to discuss the finer points of your application. Please ensure your telephone numbers and email address are correct prior to submitting the form.