ALPHABET CHILDCARE

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Registration Form for Candidates

                   
  PERSONAL DETAILS            
        All mandatory fields are highlighted with a red asterisk *    
   

Surname*:

Title:

   
    Forenames*:      
     

Address 1*:

     
     

Address 2:

     
     

Address 3:

     
     

Post Code*:

     
                   
    Email Address:    
                   
  Home Telephone Number*:      
 

Mobile Telephone Number:

     
                   
   

Nationality:

   
                   
   

Date of Birth:

 
                   
    Marital Status:      
                   
   

Drivers Licence:

Car Owner:

     
                   
  EMPLOYMENT REQUIRED          
                   
    Type of Employment:
                   
   

Days Available:

Monday
Friday
Tuesday
Saturday
Wednesday
Sunday
Thursday
 
   
                   
  Date Available to Start:      
                   
    Hourly Rate Required:  £ per hour      
                   
  Are you willing to temp for the agency?:          
                   
  Do you want to be included in our babysitting register?:          
                   
  PERSONAL INFORMATION AND EXPERIENCES      
                   
    Alphabet Childcare will prepare a CV to send to prospective employers.  In order for us to build an accurate picture of your character and individual qualities, please complete the following sections in as much detail as possible.  If you already have a CV prepared, please email to enquiries@alphabet-childcare.co.uk, and fill any other relevant information.    
                   
  RELEVANT CHILDCARE TRAINING        
                   
  List all Childcare Diplomas and Certificates held:
                   
  Other training courses and certificates gained in first aid, health & safety etc:
                   
  College practical placements (Include ages of children):
                   
  EDUCATIONAL QUALIFICATIONS        
                   
  Subjects, grades and dates:
                   
  Do you speak any foreign languages?  If so, please state language and level:
                   
  HOBBIES AND INTERESTS        
                   
    Can you Swim?:

How well?:

 
    Can you ride a horse?:

How well?:

 
  Can you play a musical instrument?:

How well?:

 
    Can you cook?:

How well?:

 
                   
    Other leisure activities and hobbies?
                   
  YOUR PERSONALITY AND BACKGROUND      
                   
 

Describe your family background, and mention any involvement with young siblings or other relatives:

                   
 

Describe your appearance and energy levels:

                   
 

Comment on your personality and the qualities that you have to offer potential employers:

                   
 

Describe how you would plan a typical week with the children in your care:

                   
  CAREER HISTORY      
                   
 

Details of all employment starting with the most recent
(Include dates, name of employer, duties and reason for leaving):

                   
 

Other childcare experience and voluntary work
(Include baby sitting, creche work and brownies/cubs, etc):

                   
  REFERENCES          
                   
       

Reference 1

Reference 2

   
      Name:    
      Address 1:    
      Address 2:    
      Address 3:    
      Postcode:    
    Telephone No.:    
  Working relationship to you:    
                   
      Please confirm whether references may be applied for on receipt of this application:

     
                   
  HEALTH AND CRIMINAL STATEMENT      
    Under the current legislation for the protection of children, we must ask the following questions:    
                   
  Have you recently been police
checked to work in a nursery
or as a childminder?:

If yes, when was the
police check carried out?

                   
  Have you ever been convicted of a criminal offence or been involved in any criminal activities?: If yes, please give
full details:
                   
 

Have you ever been subject
 to disciplinary action?:

If yes, please give
 full details:
                   
 

Have you ever been subject
 to a complaint?:

If yes, please give
 full details:
                   
  HEALTH              
    Do you smoke?:

Are you prepared to not smoke
during the working day?:

 
                   
    Are you a vegetarian?:

If yes, will you prepare and
cook meat for children?:

 
                   
    Do you have any allergies?:

If yes, please specify:

                   
 

Have you, during the last 5 years, undergone any investigation, blood test, or attended a hospital or clinic for treatment?:

If yes, please give
details and dates:

                   
 

Have you ever had a period of depression, mental illness or breakdown?:

If yes, please give
details and dates:

                   
 

Have you, during the past 5 years, been absent from work/school/college through sickness or accident for more than one week?:

If yes, please give
details and dates:

                   
 

Do you have any physical defect, or is there any ailment, disease or condition from which you suffer, or which you have a tendency?:

If yes, please give
details and dates: