SNAP Childcare Registration Form

To help us find you the right job:

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 your 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

Title First Name Surname  
Maiden Name  /Not applicable
Date of Birth: Day Month Year  
Age Now  

Add 1  
Add 2  
City: 
County: London     Other, please state:   
Postcode
Country:   UK        Other, please state:
Nearest Tube/Train Station if living in UK

Telephone:
Day Time  
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? No        Yes

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 sheet
Religion (if practising)

Are you a driver? 
Yes
No
Automatic only

Do you own a car?
Yes           No

Have you driven in London (or other large city)?
Yes       No

Do you have any points on your licence? (i.e. for speeding etc)
Yes       No   

if yes please give details

Do you smoke?
Yes            No       
Socially

Do you swim?
Yes        No      Not very well!

Do you have children of your own?
Yes       No

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
Babysitting       


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
Babysitting       

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?
years
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

Do you have any medical /psychiatric condition(s) that may affect you doing your job?   
Yes            No

If yes, please give details

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?

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?
Yes   No - If yes, please put in details below or speak to us confidentially.

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 (e.g. animals, certain food)?
Yes     No

If yes, please give details if this would affect your work

* 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  
  Address
 
(and e-mail, if abroad)
E-mail


  Relationship (e.g. employer / tutor)  


Tel:
(Landline or landline and mobile- not just mobile)

2. Name
Address  

(and e-mail, if abroad)
E-mail


  Relationship (e.g. employer / tutor)  


Tel:  
(Landline or landline and mobile - not just mobile)

3. Name  
 Address
 
(and e-mail, if abroad)
E-mail


  Relationship (e.g. employer / tutor)  

 


Tel:
(Landline or landline and mobile - not just mobile)



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         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         
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..)
                    

 SNAP Childcare. 91-93 Great Eastern Street. Shoreditch. London. EC2A 3HZ

Tel: 020 7729 2200 Fax: 020 7729 0022. E-mail:info@snapchildcare.co.uk     
   Website: www.snapchildcare.co.uk