Full Name *

Address *

Email *

Phone *

Date of birth *

Nationality *

First Language *

National Insurance Number *

Do you require a work visa for the UK? *

How long have you lived in the UK? *

Are there any animals you are NOT happy to work with? (Please indicate which animals)

Do you have a Full driving licence?

Do you have any penalty points or previous driving offences?

Are you willing to use your car for work purposes with fuel reimbursed?

Do you require parking?

Types of roles you are interested in? (Tick all that apply)

Would you consider positions within a Nursery or Pre-School setting? Yes / No

Are you willing to consider positions where one or both parents work from home? Yes / No

What is the furthest distance in miles that you are willing to commute to work?

Which date are you available to start?

What is your current notice period?

Do you have any pre-booked holiday? Yes/No

Holiday yes please specify?

Are you willing to undertake a range of reasonable duties with prior arrangement?

Would you be willing to cook from scratch? Yes / No

Would you be willing to cook for the entire family? Yes / No

Are you willing to prepare meat products? Yes/ No

What length of time would be your minimum commitment?

What is your GROSS minimum salary requirement per hour?

Are you willing to travel with the family? Yes / No

Do you have a formal childcare qualification? Yes / No

Do you have any other qualifications relevant to your role? Yes / No

Please list all qualifications relevant to the role

Have you completed a 12 hour Paediatric First Aid (PFA) course within the past 3 years? Yes / No

If yes.. When did you complete First Aid?

If you hold a DBS please provide: Date Completed, DBS Certificate Number, Are you on the update service?, If no would you be willing to obtain your DBS?

Are you registered with Ofsted? Yes / No

Do you have any particular skills or hobbies that you would like to share? Yes / No If yes please give details:

Are you a smoker?

If you smoke do you smoke during your working day?

. Do you have any dietary requirements that you feel an employer would need to be aware of? Yes / No

Please provide the names and contact details of at least two of your most recent employers who we can contact to provide a reference for you. Please note that all job offers are subject to satisfactory references. If you indicate that the named person is your current employer then we will not contact them without consulting you first.

Reference 1 - Name, Telephone, Email, Your position, Reason for leaving.

Reference 2 - Name, Telephone, Email, Your position, Reason for leaving.

Reference 3 - Name, Telephone, Email, Your position, Reason for leaving.

When are you available for interviews?

Next of kin in case of emergency and contact information

I confirm that I have read and understood The Bee’s Knees Childcare Solutions Ltd (TBKCS) Privacy Policy (this can be found at https://thebeeskneeschildcaresolutions.com/privacy-policies). I give consent for TBKCS to share my CV, and personal details such as name and contact number with potential employers for roles I have applied for.

I accept that TBKCS acts only as an introduction agency for childcare and domestic work placements and therefore holds no employer responsibility with regard to my legal rights as an employee.

I AGREE to register with HMRC as self-employed to declare my earnings should I undertake any temporary placements introduced to me by The Bee’s Knees Childcare Solutions Ltd.

I have read and accept the terms and conditions of representation set out by TBKCS. To the best of my knowledge the information provided in this registration form is correct. (Print Name)

Signed

Clear

Signed Date