Millennium Nannies
Millennium Nannies is
a long established UK based
Nanny agency, our candidates
are all fully vetted.


0208 241 9752

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Register to be a Nanny/Mother's Help/Housekeeper. Please do not register if you wish to live out as the Millennium offer Live In positions Only.
Surname:
First Name:
Email address:
Mobile:
Sex:
Please choose a photo to show us:
Salary offered:
Permanent or temporary:
Full or part time:
Live in or live out:
Full Address :
Nationality :
Position applied for:
Date of Birth (dd/mm/yyyy):
 Height (CM's):
Weight (Kg's):
How many children in your family: What number child are you?
Current Occupation/Previous occupation and date of employment if unemployed:
Telephone contact numbers (where prospective families can reach you):
Location Telephone No: Full dialling Code: Best times to call:
Home:
Work/other:
Availability
Earliest start date:
(21/05/2003)		 Latest start date:
(21/05/2003)		 Duration of stay:
(2 years)
Place of Birth: Passport held: Passport Number:
Childcare Experience
I have experience with children aged:
0-12 months 1-2 years 3-5 years
6-8 years 9+ years
I would most like to work with children aged:
0-12 months 1-2 years 3-5 years
6-8 years 9+ years
Do you have experience caring for mentally or physically handicapped children?
If yes, please give details:
Would you be willing to care for a handicapped child?
Driving Experience
Do you hold a full driving licence?
Personal Wellbeing
Do you drink alcohol? If so, how frequently?
Have you ever received treatment or counselling for a drugs or drink-related problem?
Have you ever received treatment or counselling for any kind of nervous disorder or emotional problem?
Have you ever been charged or convicted of a criminal offence?
Have you ever been a victim of sexual, emotional or physical abuse?
Does your family have any history of any form of abuse?
If you have answered yes to any of the above, please give details:
Do you smoke? If so, how many per day?
If yes, please complete the following NO SMOKING DECLARATION:
I hereby declare that, on acceptance of an offer of a placement with a host family, I will never under any circumstances smoke on or anywhere in the vicinity of the host family premises. Nor will I ever smoke or be seen to be smoking by the children of the family or by any of the family's friends or relatives, unless otherwise agreed with the host family.
Do you practise any religion? If so, which?
Will you consider a placement with a single parent family?
Do you have any objections to a placement with a family of another race or culture?
Please list your main reasons for your choice of a career as a nanny/mother's help:
What are your main personal interests and hobbies:? (please list sports and any special talents, such as playing musical instruments, horseriding, cooking etc)
Education
What professional or childcare qualification, if any, do you hold?
What are your english language skills like?
What other language skills do you have?
Do you have any plans for further education:
About You
Please take a few moments to summarise below what you consider to be your strengths and weaknesses, both in life generally and in doing your job as a nanny/mother's help:
Why should a family choose you as their nanny, above other applicants?
What experience do you have with animals? Do you have any favourite animals?
Are you qualified to administer first aid? Can you swim?
Work Experience
Please detail each position that you have held, in chronological order, starting with the most recent.
Employers Name Dates Employed Position

(19/12/1999-28/04/2002)
Duties carried out (Including names and ages of the children):
Please include your age at the time of employment in the box above
Reason for leaving:
Employers Name Dates Employed Position

(19/12/1999-28/04/2002)
Duties carried out (Including names and ages of the children):
Please include your age at the time of employment in the box above
Reason for leaving:
Employers Name Dates Employed Position

(19/12/1999-28/04/2002)
Duties carried out (Including names and ages of the children):
Please include your age at the time of employment in the box above
Reason for leaving:
General childcare experience (including babysitting) and other jobs not listed above. Please state your age at the time of employment.
Housekeeping
Washing and ironing: Vacuuming:
Dusting: General tidiness:
Wiping and maintaining kitchen and bathroom areas: Cooking:
Are you happy to carry out the above? If not please list any duties that you do not wish to undertake, also use this space to enter any further details:
General
Do you have any allergies?
Do you suffer from ashmas, eczema, diabetes or epilepsy?
Do you suffer from any condition that could affect your ability to work with children?
Would you agree to undergo a test for aids/HIV if required by your prospective employer?
Are you a vegetarian? If yes, are you willing to handle and cook meat products for the children?
Do you have any other dietary restrictions?
Have you been hospitalised or under the care of a doctor within the past 12 months?
If you have answered yes to any of the above or feel that there is any other information you should give, then please give further details:
Placement Details
Where are you seeking employment?
Declaration

I confirm that the information supplied on this form is completely true and that I have not withheld any information which could affect my employment as a nanny or mother's help. View terms

I agree

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  Registered Office for Correspondance Only:
Millennium Au Pairs & Nannies Ltd, 41 Woodbury Drive, Sutton, Surrey, SM2 5RA, England.

Registered in England & Wales Company Registration Number: 10094624