SNAP Childcare



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SNAP Childcare
SNAP Childcare SNAP Childcare
 
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)
We will then contact you.


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. We place people to work with potentially vulnerable children / people so we ask for quite a lot of information. If you are uncomfortable answering any of the questions and would prefer to discuss them directly with one of the consultants, please just let us know.
 
SNAP Childcare
Name:  
Title
 First Name
 Surname
Maiden Name:  
/Not Applicable
Date of Birth:  
Date
   
Age:  
   

Address:		  
Address 1 Address 2
Town/City
County
London
Other, Please state
Postcode
Country if not
UK
Other, Please state
Nearest tube/train station
   
Telephone:  
Daytime
Evening
     
Mobile:  
         
E-mail:  
 
* you must complete this - we won't automatically
receive your e-mail.

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?
 

What are your
hobbies?

  
Do you have any
holidays booked?:		  
Yes No    
If yes, please state dates
Have you ever had
a criminal Record? :
  
Yes No If yes, please give details in a separate e-mail. If you do have a criminal record, this will not automatically exclude you from working through SNAP.
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 details
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?:  
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
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:
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
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
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 that may affect your work? 		 
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 / care 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, full postal address and ideally e-mail address -. Remember, if we can’t contact these people, we can’t find you a job!

We will not contact any references until we have interviewed you and asked your permission.

Do not write - see CV - we need the information filled in below!
1.  
Name E-mail
Address
 
Relationship (e.g. employer / tutor) Telephone:
Tel:
 
2.  
Name E-mail
Address
 
Relationship (e.g. employer / tutor) Telephone:
Tel:
 
3.  
Name E-mail
Address
 
Relationship (e.g. employer / tutor) Telephone:
Tel:
 
   
What are you currently doing? (e.g. what kind of work / studies)
If currently working, does your current employer know you are leaving?
Yes No    
   
Where did you hear about SNAP! Childcare?
Internet Search Referral/Word of mouth nannyjob.co.uk
          
Guardian Gumtree Other, please state
Other:
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
I don't have one (We will send you a template 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 CRB police check. I agree for staff at SNAP Childcare to contact my referees once I have given permission.
 
   
Name Printed
   
Date Month Year
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SNAP Childcare