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Nanny Options Candidate Application Form
Personal Details:
Full Name:
Current address:
Date of Birth:
Email Addresses:
Mobile Number:
Home Number:
Skype Address:
Nationality:
Next of Kin:
Marital Status:
Do you have any criminal convictions:
Visa Requirments:
Next of Kin Tel No:
Do you have Children:
Do you smoke:
Swimmer:
Cooking skills:
Driver:
Provisional License:
Full License:
Own car:
Passport:
Any endorsements:
Travel Overseas:
Languages:
Nanny:
Full/Part Time:
Temporary:
Maternity Nurse:
Days/Nights:
Availability:
Housekeeper:
Full/Part Time:
Temporary:
Location:
Live In:
Hobbies/Interests:
Type of Position:
Live Out:
Health Status:
Are you taking any medication:
Allergies:
Secondary Education:
Name of school:
Date:
Location and Qualification:
Further Education:
Name of College/University:
Date:
Location and Qualification:
Employment History:
Employers Name & Contact Details:
Position:
Number of Children and
Ages:
Address:
Reason for Leaving:
Employers Name & Contact Details:
Address:
Position:
Reason for Leaving:
Number of Children and
Ages:
Employers Name & Contact Details:
Address:
Position:
Reason for Leaving:
Number of Children and
Ages:
Employers Name & Contact Details:
Address:
Position:
Reason for Leaving:
Number of Children and
Ages:
Employers Name & Contact Details:
Address:
Position:
Reason for Leaving:
Number of Children and
Ages:
Additional Information:
PLEASE INSURE THE FOLLOWING INFORMATION IS INCLUDED WITH YOUR
APPLICATION FORM.
 Copy of Qualification
 Written Reference from Previous Employers
 Telephone Numbers of Previous Employers
 First Aid Certificate
 Garda Vetting Application Form
 Two Original Passport Photographs
 An Original Passport
 An Original Driving License
 A list of Pervious and Current Address
How did you hear of Nanny Options:
Declaration:
I confirm that all the information contained within this application form is correct.
I understand that should I obtain a position through Nanny Options that I will notify the agency
immediately.
I agree that all the information I receive about any clients or candidates is confidential and I
understand that this information shall not be discussed without consent.
I give my consent to Nanny Options to check this information.
Signature:
Address:
Nanny Options,
Suite 4,
Block E2,
Nutgrove Office Park,
Rathfarnham,
Dublin 14.
Date:
Tel No. : 015331986
Mobile No. : 0878144299
www.nannyoptions.ie
Email Addresses:
[email protected]
[email protected]
Nanny Options, Suite 4, Block E2, Nutgrove Office Park, Rathfarnham, Dublin 14.
Tel: 015331986, 0877465265.
The information contained within this document is confidential