1. Complete the form as fully as possible, then press submit button (just once!)
2. Send in your current CV, ideally by e-mail (Word document)
3. Keep in touch with us by phone or e-mail so we know you are still seeking work
4. Call us to arrange a time to come in and see us/arrange a telephone interview
5. Keep checking on our website and let us know if you see jobs that are of interest to you.
Note: Please do not press the return button while completing this form - as this will submit it! (If you do - simply start a new form - type in your name (exactly as you did on the first form) and just complete the missing sections - as long as your name is the same we can update it automatically).
Any information provided will be used in the strictest confidence and only for the purpose of finding you a suitable job.
SNAP is registered with and complies to the Data Protection Act 1998.
Your details will never be passed onto a third party, except with your explicit permission
Name:
Titlte
First Name
Surname
Maiden Name:
/Not Applicable
Date of Birth:
Date
Age:
Address:
Address 1
Address 2
Town/City
Country
Lodon
Other, Please state
Postcode
Country
UK
Other, Please state
Nearest tube/train station
Telephone / Email:
Daytime
Evening
Mobile:
E-mail:
* you must complete this - we won't automatically
receive your e-mail.
Name, address and telephone number of next of kin.
(We will only contact this person in case of emergencies)
Name and
Address:
Tel:
Marital Status:
Single
Married
Divorced
Living With Partner
Widow/er
Nationality:
British
Other
Do you have
a current passport?:
Yes
No
If not a UK Citizen, do you have permission to work here? Yes
No
If No, I'm sorry we can't help you! Do not send any details until you have a valid work permit.
If yes, what type of visa do you have:
Two year working Visa
Ancestral Visa
Au Pair Visa
Four year working visa
EU Citizen
Student Visa
Right to Abode
Married to UK Citizen
UK Residency
Other, please state:
When is your visa valid until?
For non UK citizens, please note - you must be in the UK to be able to attend interviews and
you must have a valid work permit - we cannot help you obtain one.
Do you have
siblings?:
Yes
No
if yes how old are they now?
What are your
hobbies?
Why do you wish
to work with
children with
additional needs?:
Do you have any
holidays booked?:
Yes
No
If yes, please state dates
Have you had
an ENHANCED CRB
police check within
the last 3 years?:
Yes
No
If no, have you
started the process?:
Yes
No
If no: please contact us directly, or see the section regarding police checks in Nannies/Carers or Articles of
interest (- after you have submitted the form, otherwise you may lose information on the form!).
Have you ever had
a criminal Record? :
Yes
No
If yes, please give details on a separate
Religion (if practising):
Are you a driver?:
Yes
No
Automatic Only
Do you have
any points on
your licence?
(i.e. for speeding etc)
Yes
No
If yes, please state dates
Do you own a car?:
Yes
No
Have you driven
in London
(or other large city)? :
Yes
No
Do you smoke?:
Yes
No
Socially
Do you swim?:
Essential
Preferable
Not very well!
Do you have children
of your own? :
Yes
Preferable
if yes, please give ages
When are you
available
to start work?:
Notice to be given in current job
POSITION DETAILS
First Choice :
Permanent Daily
Permanent Live-in
Permanent Daily or Live-in
Temporary Daily
Temporary Live-in
Temporary Daily or Live-in
Part-time Daily
Part-time Live-in
Part-time Daily or Live-in
Second Choice :
Permanent Daily
Permanent Live-in
Permanent Daily or Live-in
Temporary Daily
Temporary Live-in
Temporary Daily or Live-in
Part-time Daily
Part-time Live-in
Part-time Daily or Live-in
If temporary, dates available
If part time, days & times available
Areas Considered:
(e.g. London, Brighton, Any)
What is the youngest
age group you have
worked with?:
And the eldest:
In total, how many years (or months) childcare experience
(Either special needs or mainstream) do you have?
Year
Months
Current/previous
weekly wage :
Net(after tax & NI)
Gross (before tax & NI)
Please state any relevant qualifications
(Btec National Diploma, Degree Childcare & Education, BSL etc) you have:
MEDICAL DETAILS
Please state any relevant qualifications
(Btec National Diploma, Degree Childcare & Education, BSL etc) you have:
How many times have you seen a doctor in the last 12 months?
Approximately how many days sick have you taken in the last 12 months?
Do you have any
medical/psychiatric
condition(s) that may
affect you doing
your job?
Yes
No
if yes please give details
Are you current taking any medication/ Receiving medical/ psychiatric treatment?
Yes
No
if yes please give details
Have you ever suffered form any of the following: Depression, suicidal tendencies,
eating disorders, self-harming, drug dependency, death of own child or miscarriage?
If yes, please put in details below or speak to us confidentially.
Yes
No
If yes, we may need to discuss these privately with you, but this
will won't automatically affect you getting work through us.
Please state your
approximate height
and weight:
Height:
Weight:
Have you had any
serious illnesses /
operations that may
affect your work?
Yes
No
If yes, please give details
Are you allergic
to anything:
Yes
No
If yes, please give details
* Must be completed by all applicants Medical Declaration:
I declare that I am physically and mentally fit to work with children/young adults with additional needs:
Name:
Dated:
Are you
a vegetarian?:
Yes
No
If yes, would you be prepared to cook meat?
Yes
No
Any other
languages spoken:
References. Please write down the names and details of at least two people who have known you in a professional capacity, who will provide a reference for you. One must be your most recent employer and one a childcare position where you have been for at least 3 months. (Newly qualified childcare students, may give their tutor as one reference). Please make sure you provide a current telephone number and full postal address-. Remember, if we can’t contact these people, we can’t find you a job!
Please note: If you don't want references contacted - don't put down their details - if we arrange an interview with us, we write to all references you put down.
Do not write - see CV - we need the information filled in below!
1.
Name
E-mail
If yes, please give details
Address
Relationship (e.g. employer / tutor)
(Landline or landline and mobile- not just mobile)
Tel:
2.
Name
E-mail
If yes, please give details
Address
Relationship (e.g. employer / tutor)
(Landline or landline and mobile- not just mobile)
Tel:
3.
Name
E-mail
If yes, please give details
Address
Relationship (e.g. employer / tutor)
(Landline or landline and mobile- not just mobile)
Tel:
What are you currently doing?
Does your current employer know you are leaving?
Yes
No
Where did you hear about SNAP! Childcare?
The Lady
Nursery World
nannyjob.co.uk
Internet Search
Referral/Word of mouth
Guardian
Gumtree
Other, please state
Why are you leaving / did you leave, your current / previous job?
Please use this space to tell us your ideal job through SNAP - the more you tell us the
more likely we can find you the right job!
If you are interested in a specific job(s), please quote the Ref (V) Numbers(s).
All of our positions are with babies, children or young adults with additional needs, please briefly describe what experience you have experience of any of the following:
Please do NOT: Write 'see above'/ 'as below' etc - when we process your form it is not in the same order! Please be specific about your experience, do not just write 'yes' - this information may go straight to a family/job you are interested in.
If you do not have any experience, just leave boxes blank.
Portage
British Sign language
Makaton Sign Language
Physiotherapy
Speech Therapy
Occupational Therapy
Lovaas / ABA
Conductive Education
Down's syndrome
Challenging Behaviour
Autism
Cerebral Palsy
Visual Impairment
Hearing Impairment
PEC'S
Learning Difficulties
Lifting (Hoist etc.)
Tube Feeding
Tracheostomies
Premature Births
Epilepsy
Nannying
Mainstream childcare
Other - please state
Have you already
sent your CV?:
Yes
Not yet
Only
I don't have one
(We will send you a blank one to complete)
DECLARATION
Having read the information I have provided, I declare that to the best of my knowledge this information is true and accurate. I understand that to register with SNAP! Childcare I will agree to undergo a police check if I do not already have a current CRB. I agree for staff at SNAP! Childcare to contact the referees I have put down on this form.
Name Printed
Date
Month
Year
Click once to send details (please be patient - it make take about 30 seconds, but once is enough...)
Dear SNAP,
Thank you so much for your
help. Sarah & Oscar are doing
well - fabulous service.
