Registration
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If you are looking for a position, please complete the following form and we will get back to you as soon as possible. It should take approximately 5 minutes to complete. Thank you.
 
Personal
 
Title
First Name
Surname
Address
Postcode
Telephone:
 
Home
Work
Mobile
Email Address
Age
Date of Birth
Nationality
Religion
Next of kin
Marital Status
Can you swim?
Hobbies?
   
Can you play any musical instruments?
Do you speak any foreign languages?
Do you suffer from any serious illnesses or allergies?
Do you smoke?
Do you have a child / children of your own?
Do you have any pets?
 
Qualifications & Experience
 
How many GCSEs / A Levels do you hold?
Are you a qualified child carer?
How many years experience do you have?
Please specify your qualifications:
 
Employment History
 
Name of employer
Present position
Telephone number
Period worked
Ages and sexes of children
Reason for leaving
 
Previous employer
Position
Telephone number
Period worked
Ages and sexes of children
Reason for leaving
 
The position you are seeking:
 
Nanny
Nursery Nurse
Mother's Help
Babysitter
Full Time
Part Time
Daily
Live In
 
If Live In do you require?:
 
Own Room
Separate Accomodation
Would you consider a position with a parent at home?
   
Are you willing to do:
 
Light housework
Full housework
Nursery duties only
Flexible
 
Please specify the areas/locations you wish to work in
How much notice is required in your present position?
What date are you available to start in a new position?
What net salary/hour or day or  are you seeking?
What is your current net salary?
Do you have a valid CRB police check?
Paediatric First Aid Certificate expiry date(if held)
How did you hear about Coralis?
Which other Agencies are you registered with?
Any additional information?
 
Driving
 
Do you hold a clean driving licence?
If not, please give details of driving offences
Do you have your own car?
   
I agree to abide by the Coralis Childcare Agency
terms and conditions
   
Upon processing of the application we will contact you as soon as possible.