Register as a Nanny

Street Address:

Home Phone:

Work Phone:

Date of Birth:

Are you eligible to work in New Zealand:  Yes   No 

Do you have your own vehicle:  Yes   No 

Driver's Licence Number:

Are you a qualified Nanny?:  Yes   No 

Any other qualifications?:

What childcare experience do you have?:

Do you have your own children?:  Yes   No 

What kind of job are you looking for?:  Full - time   Part - time   Temporary   Baby sitting   After school   Home-based   Live in   International 

Available Days:  Monday   Tuesday   Wednesday   Thursday   Friday   Saturday   Sunday 

Hours available each day:

Preferred age group:

Are you happy to work with parents?:  Yes   No 

Can you do sole charge?:  Yes   No 

Do you mind doing housework?:  Yes   No 

Do you speak another language (other than English)?:

Do you mind pets at home?:  Yes   No 

What are your hobbies?:

Do you smoke?:  Yes   No 

Can you cook?:  Yes   No 

What are your best qualities as a nanny?:

Details of any health conditions:

Are you taking medication?:  Yes   No 

Do you have any allergies:  Yes   No 

Have you ever been convicted of any offence by law?:  Yes   No 

If yes, please give details:

Have you ever had traffice convictions?:  Yes   No 

If yes, please give details including speeding fines:

Are you listed with any other agencies?:  Yes   No