Application Form – South Coast Nannies

Personal Information
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Date of Birth*
DD slash MM slash YYYY
Home Phone
Mobile Phone*
Email Address*
Enter Email Confirm Email
Drivers License No*
License Expiry Date*
DD slash MM slash YYYY
Privately Owned Vehicle Use*
Would you be prepared to use your car for during work hours?
- Yes
- No
Employers Vehicle Use*
Are you prepared to drive an employer’s car?
- Yes
- No
Car Type*
- Automatic Only
- Manual Only
- Both
Please Upload your a Photo of Yourself
We will need a photo of you for your Profile that we send to prospective clients. Please upload photo with a White background and include the shoulders we can crop the photo for you.
Max. file size: 32 MB.
Emergency Contact
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone
Work Phone
Mobile Phone*

Qualifications and Certifications
Do you have a New Working With Children Check Number?*
If No, you are required to obtain before working with children.
- Yes
- No
Working With Children Check Number*
By Law you must have a current Working with Children Check or if you don't have a check please enter "WILL APPLY"
Expiry Date*
When does your Working with Children Check number expire? Put todays date is answered WILL APPLY
DD slash MM slash YYYY
Qualifications Held
Enter as many rows as required to list all your Qualifications and Certifications. Click the 'Plus' sign to add new rows.
Qualification / Cert Year Achieved Expiry (type n/a if none)
Upload Qualifications
Please upload a copy of your qualifications.
Max. file size: 32 MB.
A condition of contract work with South Coast Nannies all our carers are required to have up to date first aid certificates. South Coast Nannies can provide you with details of upcoming First Aid Courses in your area to undertake.
First Aid Certificate
Do you have a current First Aid Certificate?
- Yes
- No
Expiry Date*
When does your First Aid Certificate expire?
DD slash MM slash YYYY
Upload First Aid Certification
Please upload a copy of your First Aid Certfication. Please Not the require First Aid Code is HLTAID004 Provide an emergency first aid response in an education and care setting.
Max. file size: 32 MB.
Child Care Employed?*
Are you currently employed in the child care industry?
- Yes
- No
Position Held*
Job Network Agency*
Are you registered with a Job Network Agency? (E.g. Mission Australia, Campbell Page)
- Yes
- No
What Agencies?
Please list names of Agencies. One on each line.
Preferred Method of Communication
Contact Channel*
For upcoming Jobs what would be your preferred method of Communication? (ie: phone, mobile, email, facebook, sms, etc..)
- Phone / Mobile
- Email
- Facebook

Availability
Please ensure we are constantly informed of your availability, or changes to your circumstances. Casual Nannies let us know each week that you wish to your availability for babysitting Jobs. Feel free to call text or email your availability regularly.
Service*
Please indicate what services you are interested in. Choose as many as you like.
- Casual
- Permanent
- Full Time
- Evening Babysitting
- Before & After School Care
- Holiday Help
- Event Care - Weddings
Availability
Please provide times or All Day or Nights
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Ideal Situation*
In a perfect world what would be the perfect work for you?
Your initial application form will give South Coast Nannies an overview of your areas of service of expertise as well as an indication of your availability for work with the agency and families in the area. To ensure our Availability Database is kept up to date you are required to submit your availability on a regular basis by contacting the office by phone, email or via text message. Please ensure your availability details remain current at all times. If there is any change to your availability you are advised to contact the office immediately. It is not the responsibility of South Coast Nannies to follow up on your availability. In order for work to be assigned your availability must be known. For Casual Carers we ask that you contact us via text message or phone between Wednesday and Friday of that week if you wish to work Friday and/or Saturday Babysitting jobs.
Other
Is there anything else we need to know?

Health & Wellbeing
Disabilities or Handicaps*
Do you have any disabilities or handicaps that would prevent you from performing specific tasks?
- Yes
- No
Mental Health*
Have you, at any time, suffered from mental or physical health problems, which could affect your ability to work as a nanny with sole charge of children?
- Yes
- No
Physical Limitations*
Do you have any physical limitations?
- Yes
- No
Allergies*
Do you have any allergies?
- Yes
- No
Provide Details
If you answered yes to any of the above, please provide details for each item.

Career Experience
Experience*
Actual child care years experience.
Preferred Age*
Preferred age group you would like to work with.
Age Group
What ages have you had experience with? Not including your own children. Select all the apply.
- Newborns
- 6 - 24 months
- 2 – 5 years
- 6 – 12 years
- Teenagers
- Children with Disabilities and Special Needs
Experience with special needs or disabilities
Please state type of special needs or disabilities you have had experience with e.g. Autism or cerebral palsy.

Team Leadership Skills
By understanding your core strengths and weaknesses it helps us to identify similar or complementary strengths within our team and develop leadership traits and identify and fill any gaps to strengthen the overall team.
Management Skills
Do you have experience directing a team?
- Yes
- No
Strengths*
Please describe your management strengths.
Weaknesses
Please describe your management weaknesses.

References
Two Work Related References*
We require at TWO Work Related References. Click the 'Plus' sign to add rows as required.
Contact Name Contact Phone Number Centre Position Children’s Age Groups worked with Brief Description of Position held and duties
Two Personal References (not Family members)*
We require at least TWO Personal References. Click the 'Plus' sign to add rows as required. Must not be relatives.
Contact Name Contact Phone Number Relationship How long have you known them
If you are new to working in the Informal and in-home Child Care South Coast Nannies will require two personal references to attest to your character and experience with children. Include written references with your resume.
It is a condition of employment that all staff carers maintain and take their portfolios with them on all bookings. This portfolio contains important documentation which may be required whilst on a booking; including administration of medication forms, incident report forms, transportation and timesheet documentation.

Disclosure
I release South Coast Nannies to contact the references that I have provided above and acknowledge that the information gained from these references will be provided to families working with South Coast Nannies for placement.
I understand that it is South Coast Nannies policy that no individual will be discriminated against because of race, religion, gender, sexual orientation, national origin, age, marital status, disability, or any other basis prohibited by law. We will consider all individuals for any position for which they are qualified and able to perform.
By submitting my completed form below I verify my understanding of the following: South Coast Nannies does not guarantee placement of any nanny.
South Coast Nannies reserves the right to reject a nanny for any reason, not prohibited by law, at any time. In order for a nanny to be placed, they will be required to participate in a series of interviews, complete a thorough background check, and a screening involving the contact of at least three child-related references.
Please Upload your Resume in DOC or PDF Format
Max. file size: 32 MB.
Name*
First Last
Agreement*
By selecting YES and submitting this form you certify that all the information provided are true and that I agree to be bound by the terms set forth in the enclosed Terms and Conditions for Nannies.
- Yes. I understand these provisions and agree to the Terms outlined above.
Phone
This field is for validation purposes and should be left unchanged.

Nanny Application Form

Documents for Application

Nanny Application Form

Personal Information

Emergency Contact

Qualifications and Certifications

Preferred Method of Communication

Availability

Preferred Service Location

Health & Wellbeing

Career Experience

Confidence and Experience

Team Leadership Skills

References

Disclosure

South Coast Nannies on Instagram

southcoastnannies

South Coast Nannies on Facebook

Qualification / Cert	Year Achieved	Expiry (type n/a if none)

Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday

Contact Name	Contact Phone Number	Centre	Position	Children’s Age Groups worked with	Brief Description of Position held and duties

Contact Name	Contact Phone Number	Relationship	How long have you known them