Please fill in the boxes, answering all questions fully and honestly, and then press submit.
Personal details
First name:
Last name:
Gender:
Select
Female
Male
Date of birth
Day
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31
Month
1
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12
Year
1989
1988
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1932
1931
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1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Height:
Weight:
Nationality:
Select
Slovakian
Hungarian
Polish
Czech
Romanian
French
Turkish
German
Spanish
Dutch
Bulgarian
Slovenian
Latvian
Lithuanian
Estonian
Other
Passport number:
Passport expiry date:
Contact details
Address:
Home telephone:
Work telephone:
Mobile:
Fax number:
Email address:
Placement details
What date do you wish to start your placement?:
What is the latest date that you can start?:
How long do you wish to stay for?:
Family details
Father's profession:
Mother's profession:
Brother's ages:
Sister's ages:
Education
Please give a brief description of your education, the subjects you have studied and enjoyed, your qualifications and any other information you consider relevant.
Education:
How many years have you studied English?:
What is your level of spoken English?:
Select
Poor
Fair
Good
Very good
Excellent
Which other languages do you speak?:
Do you wish to attend English classes?:
Select
Yes
No
Childcare and Family Home Experience
Please describe what you have done for the last 3 years and your childcare experience.
Childcare and Family Home Experience:
Would you consider a family with:
0 children?
1-3 children?
4+ children?
Which ages of children will you care for:
0-1 years old
1-3 years old
4-7 years old
7+ years old
Would you accept a single:
Mother?
Father?
Driving
Do you have a driving licence?:
Select
Yes
No
Will you drive in the UK?:
Select
Yes
No
Health
Do you smoke?:
Select
Yes
No
If 'Yes', how many per day?:
Would you be prepared to not smoke in the family home?:
Select
Yes
No
Do you have any illnesses or injuries?:
Select
Yes
No
If 'Yes', could you please give details:
Will you go to a family with cats and dogs?:
Select
Yes
No
Do you have any allergies?:
Select
Yes
No
If 'Yes', could you please give details:
Are you a vegetarian?:
Select
Yes
No
Would you accept a non-vegetarian family?:
Select
Yes
No
Can you swim?:
Select
Yes
No
Work duties
Are you prepared to carry out the following duties?
Cleaning?:
Select
Yes
No
Cooking?:
Select
Yes
No
Ironing?:
Select
Yes
No
Gardening?:
Select
Yes
No
Area preferences
Would you accept a position in:
the country?
a (small) town?
a (large) city?
Would you prefer to be in a specific area?:
Select
Yes
No
If 'Yes', please give details and reason:
Previous travel
Have you travelled to other countries before?:
Select
Yes
No
If 'Yes', please give details and reason:
Have you lived away from home before?:
Select
Yes
No
If 'Yes', please give details and reason:
Have you been to, or are you in, the UK?:
Select
Yes
No
If 'Yes', please give details and reason :
Other interests
Could you please describe your other interests, hobbies and pastimes.
Other interests:
Other information
Do you have any visible tattoos or body piercings?:
Select
Yes
No
If 'Yes', please give details:
Do you have a criminal record?:
Select
Yes
No
If 'Yes', please give details and reason :
Upload Image
(JPEG is preferred)
Image 1:
IMPORTANT
All of the information you have given us on this form will help us to find the best family for you. Please also send by post (to us) a doctor's certificate to say that you are fit and healthy, 2 references from people that you have worked for/ or whose children you have cared for/ or a former teacher. These will be checked by simplyangelic.co.uk. Please also write a letter of introduction about yourself, your hobbies and your background to introduce you to the family. You should also send 3 passport size photographs.
Please remember that when you come to the UK you should always have a return ticket and enough money for emergencies. Whilst we will try to help in an emergency it is not always possible, and you are your own responsibility.
I confirm that I have read and understood all of the above, and that I have answered all questions fully and honestly to the best of my knowledge.
Please now click on the Submit button. Note: clicking on the Submit button indicates your acceptance of our terms and conditions of business.
Simply Angelic
Nannies Tel:
0207 808 7042
Aupairs Tel:
0207 808 7043
UK based Childcare recruitment agency with offices in London, and the North placing quality Au-pairs and Nannies with families in London, The UK and Overseas.
