Registration Form

Full Name *

First Name Middle Name Last Name
Date of Birth
Visa or Residency status

Perm Resident of Australia or NZ Working Visa 457 or spouse visa student visa
WWCC Number
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Age
Years working with Children
E-mail *
Mobile Number *
Address *

Street number & name

Suburb

Post code
PLEASE ATTACH CV
Training

CERT III DIPLOMA BA Early Childhood (Degree) BA Dip Ed Prinary/Secondary Montessori Nursing/Midwife
whooping cough vaccination status

Yes No
Covid Vaccination

Yes No In the process of
First Aid Trained

Yes No
First Aid trainer Provider
Expiry date
First Aid Certificate copy

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If you have a Police Check - please upload

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Childcare Training certifications

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Languages other than English
Driving
Do you have a good driving record?
Number of Years Driving
Please add a photo of you drivers licence

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Own Car

Yes No
Work Type Desired

Full Time Nanny Part Time Nanny After School Hours Before School Hours Temp Nanny Babysitting
Up to how many days?
Days Available

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Locations

City/CBD Inner West East Subs Nth Shore Lower Nth Shore Southern Subs Hills District
Can you swim?

Yes No
Can you lift a 3 yr old

Yes No
Will you work along side a parent

Yes No Some of the time
Are you open to light household duties - not deep cleaning, just day to day tidy

Yes No
Describe yourself in few words.
What are your strengths when it comes to caring for and working with Children
Do you have any experience working with Children with Special or Additional Needs?

Yes No
If you ticked 'Yes' please tell me a little bit about your experience :)
Describe your ideal Nanny position? ie. Days and hours, that you would ideally like to fill including how many hours you'd like to work per week and start date
Are you allergic to domestic animals?
What Nanny Agencies are you registered with?
Previous Childcare & Nanny work history
Most recent - Nanny Family or Centre *

First name/s Last name/s
Is this employer aware that you looking for work?
E-mail
Employment dates
Phone Number

Area Code Phone Number
Address
Ages of Children when you started
Employment Type

Part Time Full Time Before and/or After school hours Babysitting Temp
Sole Charge role
Reason role ended
Where/How did you find this role?
If you have a reference please upload here

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Agency reference evaluation form

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Referee 2

First name/s Last name/s
E-mail
Employment Dates
Phone Number

Area Code Phone Number
Ages of Children
Employment Type

Part Time Full Time Before and/or After school hours Babysitting Temp
Sole Charge role
Reason role ended
Where/How did you find this role?
If you have reference please upload it here

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Agency reference eval form

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Referee 3

First name/s Last name/s
E-mail
Employment Dates
Where/How did you find this role?
Phone Number

Area Code Phone Number
Ages of Children
Employment Type

Part Time Full Time Before and/or After school hours Babysitting Temp
Sole Charge role
Reason role ended
Where/How did you find this role?
If you have a reference please upload it here

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agency reference evaluation form

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By agreeing, you are bound by these terms.

All referee details provided will be contacted and/or recontacted at the agencies discretion.

It is an offence to provide false referee details and or references.

Private and/or direct booking are not permitted.

similarly, please do not accept direct bookings from friends of families through your Blue Ribbon Nannies family.

Once you start working with a family, referred by this agency, If there are changes to you curcumstances, please contact the agency ASAP.

Please ensure that your NSW WWCC & first aid remains current.
I have read & agree to these terms

Yes No
Signature

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Type a question
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Previous Childcare & Nanny work history