Phone : +44 (0) 207 125 0080
07759841639(Recruitment Line)
Please complete the details below and we will contact you as soon as possible.
Name:
Surname:
Address1:
Address2:
Postal Code:
Town:
Country:
Email:
Nationality:
Tel:
Mobile:
Date of birth:
Nanny Maternity Nurse Weekend Nanny Babysitter
Mother's Help Maternity nanny Temporary Nanny Proxy Parenting
House keeper Doula Overseas nanny Governess
Au pair Night Nannies Holiday Nannies Cleaner
Au pair plus Sleep Trainer After School Nanny
Live in Live out
Temporary Permanent
Part time Full time
Sole Charge Shared Charge Both
Available from
Length of stay: (How long are you able to commit for?)
Days available to work
Monday Tuesday Wednessday Thursday Friday Saturday
Education
Norland NNEB Cache2 NAMCW
Princess NVQ2 Cache3 MNT
Chiltern NVQ3 BTEC Other
ADCE Christian
Ages of children care for:
0-3 Month 3-12 Months 1-3 Years 3-5 Years
5-12 Years 12+ Years
Qaulification
Number of years experience
Ages of children
Number of children:
Religion:
Are you willing to do some light housework?
Light cleaning Washing Ironing Cooking
Shopping Pet Care
Will you accept a single parent family? YesNo
Are you willing to look after children with special needs? YesNo
Are you willing to work with a family with a different religion/culture? YesNo
Describe experience you’ve had looking after children:
Previous au pair positions:
References(childcare and personality):
Are you willing to work extra hours if paid extra? YesNo
How would you describe yourself?
What are your hobbies?
Can you drive? YesNo
Do you have experience driving in the city? YesNo
How long have you been driving for?
Can you swim? YesNo
Do you play any musical instruments? YesNo
Do you have any allergies?
Do you follow any special diets?(vegetarian/vegan etc)
Do you want to attend language school?
What’s your level of English? Beginner IntermediateAdvanced
Do you speak any other languages?
Do you smoke? YesNo
If yes: How many/day?:
Are you willing not to smoke in the house and when you are around children? YesNo
Are you happy to be around pets? YesNo
Pocket money expectations 25 hours/week –pocket money min. £65/week30 hours/week-pocket money min £75/week35 hours/week-pocket money min.£85/week
Please provide a brief description of the position you are looking for including location, hours of work, preferred age groups (if appropriate), duties, live-in/daily, and salary requirements:
Your CV:
Your Pic:
skype?
How did you hear of Buttercup Nannies?
Candidates must have a valid working visa to work in their preferred country. Buttercup nannies does not sponsor people who need visas, or assist candidates with student or au-pair visas.
I confirm that I have completed this form with honesty and that all the information supplied to Buttercup Nannies is accurate to the best of my knowledge and I understand that should any information that I have provided later be found to be inaccurate I could be summarily dismissed by the employer.
I agree