Candidate's Registration

Personal Details

First name*
Maiden Name (if applicable)
Date of Birth*
Post code / Zip code*
Nearest transport links
Home telephone number
Mobile Number*
Email address*
Skype name
Place of birth*
Do you require a work visa for the UK/have a UK work visa? Please details*
How long have you resided in the UK?*
National Insurance*
Marital Status*
Do you have children?*
If yes what are their ages?
Would you work in a house with pets?*
Are there any animals you are not happy to work with?*
Do you have a full driving license or provisional license?*
Do you have a clean license?*
If not please give details
For drivers: Confident driver
When did you pass your test?
Are you a car owner?*
Are you willing to use your car for work?
Do you require parking?
Do you have qualifications? If yes give details*
Do you have a first aid certificate within the last 3 years?*
Do you have a valid DBS?*
Are you Ofsted registered or willing to become registered?*
Date issued
Exp date

Description of Position Required

Type of work
What positions would you like to apply for?*
Preferred location*
Available to start*
Notice period*
How many years of professional experience in your chosen field?*
Please indicate which age groups you have experience with?*
Please highlight from the list below what you have previous professional experience with*
If you have selected Allergies or Special needs please specify
Description of your ideal position and duties you are happy to carry out as part of your role
Is a sole charge position essential?*
Nursery duties only?*
Flexible/able to pitch in?*
Would you be interested in working overseas?*
If yes please state which countries would you be willing to work in?
What hours/days would you prefer to work?*
Would you be willing to commit to a year?
Would you be willing to commit to longer?
What would be your minimum commitment?
What is the minimum salary requirement?
Are you willing to travel with the family etc?
Do you have any pre-booked holiday?*
Do you enjoy cooking?*
What standard would you say your level of cooking is?
Would you be willing to cook from scratch and freeze extra?*
Would you be willing to cook for the parents?*
Do you speak any other languages?
Have you ever done proxy parenting overnight on your own?*
Are you still happy to do that?
What aspects of nannying do you particularly like?

Living Accommodation

Would you require your own bedroom?*
Would you require your own bathroom?*

Employment History

Employment: Position Held *
Employer: Ages of children from the start *
Employer: Family name *
Employment: Dates from *
Employment: Dates to
Employer: Address*
Employer: Phone number *
Employer: Email *
Employment: Duties *
Employment: Reasons for leaving *
Employment: Ref checked
Employment: Ref checked date
Employment: Ref checked by

Employment 2

Employment 2: Position Held
Employer 2: Ages of children from the start
Employer 2: Family name
Employment 2: Dates from
Employment 2: Dates to
Employer 2: Address
Employer 2: Phone number
Employer 2: Email
Employment 2: Duties
Employment 2: Reasons for leaving
Employment 2: Ref checked
Employment 2: Ref checked date
Employment 2: Ref checked by

Employment 3

Employment 3: Position Held
Employer 3: Ages of children from the start
Employer 3: Family name
Employment 3: Dates from
Employment 3: Dates to
Employer 3: Address
Employer 3: Phone number
Employer 3: Email
Employment 3: Duties
Employment 3: Reasons for leaving
Employment 3: Ref checked
Employment 3: Ref checked date
Employment 3: Ref checked by

Employment 4

Employment 4: Position Held
Employer 4: Ages of children from the start
Employer 4: Family name
Employment 4: Dates from
Employment 4: Dates to
Employer 4: Address
Employer 4: Phone number
Employer 4: Email
Employment 4: Duties
Employment 4: Reasons for leaving
Employment 4: Ref checked
Employment 4: Ref checked date
Employment 4: Ref checked by

Employment 5

Employment 5: Position Held
Employer 5: Ages of children from the start
Employer 5: Family name
Employment 5: Dates from
Employment 5: Dates to
Employer 5: Address
Employer 5: Phone number
Employer 5: Email
Employment 5: Duties
Employment 5: Reasons for leaving
Employment 5: Ref checked
Employment 5: Ref checked date
Employment 5: Ref checked by

Employment 6

Employment 6: Position Held
Employer 6: Ages of children from the start
Employer 6: Family name
Employment 6: Dates from
Employment 6: Dates to
Employer 6: Address
Employer 6: Phone number
Employer 6: Email
Employment 6: Duties
Employment 6: Reasons for leaving
Employment 6: Ref checked
Employment 6: Ref checked date
Employment 6: Ref checked by

Other Employment Information

How long have you been looking for a new position?*
What other agencies are you registered with?*
When are you available for interviews?*
Where did you hear about us?*
If other: Please give details
Name of next of kin*
Address of next of kin*
Telephone number of next of kin*
Email of next of kin*

Personal Information

Do you smoke?*
If yes would you accept NOT to smoke whilst on duty?
Any operations/medical conditions?*
Any long term illnesses?*
Any physical difficulties? (ie back/knee pain)*
Are you taking any medication?*
Do you have any allergies?*
Do you have any dietary requirements?*
Have you received psychiatric treatment?*
Attach C.V.*

Personal Declaration

I confirm that to the best of my knowledge the information provided in this application form is correct.

Date *

Registered Office Address

Home Star Childcare Limited
3rd Floor, 207 Regent Street
United Kingdom

Open 7am to 9pm Monday to Sunday

T: 0798 523 6663


Copyright 2019 - Home Star Childcare