Call us now on: 00353 (1) 574 0163 - Ireland

Call us now on: 0044 (0) 208 245 4789 - UK

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Registration Form for Housekeepers

Free service

Please do not complete this form unless who hold a British passport or existing and current visa which allows you to live and work in the United Kingdom

Housekeeper Registration Form (New)

Personal Information

First Name

Last Name

Address

Post Code

Mobile

Date Of Birth

Please upload a photo of yourself (Each file should be 5MB or less.)

Choose File

Nationality - please indicate if you have one of the following:

UK Nationality

Settled Status British passport

Ancestry Visa

UK Student Visa

Tier 5 Visa

Visa expiry date:

Date of entry to the UK:

Other languages spoken?

First language spoken:

National insurance number:

Do you have an up-to-date enhanced DBS check?

Yes

Do you have a first aid certificate?

Yes

Do you have any childcare qualifications

Yes

Do you have experience of driving in the UK?

Yes

Do you have a valid UK or EU driving license?

Yes

Do you have access to a car you can drive?

Yes

Have you ever been convicted of a criminal offence inc driving offences?

Yes

If yes, please give details:

Salary expectation:

When you are available?

Where in the UK are you willing to work?

Your experience - please select all the apply:

Childcare experience - please select all the apply:

Are you able and willing to do the following? Pease select all the apply:

Is there any age group of children you are NOT comfortable with?

Carer Experience - Please select all the apply:

Any other - please specify?

Pets and animal experience - Please select all the apply:

Feeding pets

Walking pets

Cleaning up after pets

Any other - please specify?

Employment History

Employment History - Please enter your 3 most recent jobs:

Employer 1 Start Date

Employer 1 Finish Date

Employer 1 Duties

Employer 1 Reason for Leaving

Employer 1 Contact reference - please provide details:

Employer 1 Reason for Leaving

Employer 2 Start Date

Employer 2 Finish Date

Employer 2 Duties

Employer 2 Reason for Leaving

Employer 2 Contact reference - please provide details:

Employer 3 Start Date

Employer 3 Finish Date

Employer 3 Duties

Employer 3 Reason for Leaving

Employer 3 Contact reference - please provide details:

Your Health

Are you in general good health?

Yes

If you have any disabilities that may prevent you carrying out the position you are applying for, please give details:

If you take any regular medication, please give details:

If you have any serious allergies that may affect your ability to carry out the position you are applying for, please give details:

Other

Can you read English?

Yes

Do you smoke?

Yes

Do you agree not to smoke in the family’s house?

Yes

Are you able to use a computer?

Yes

Can you swim?

Yes

Do you follow a special diet (vegetarian etc)?

Yes

If yes, please give details:

Are you happy to handle & cook meat and fish?

Yes

Do you have any holidays booked?

Yes

If yes, please provide holiday dates:

Are you happy to travel with the family?

Yes

If yes, are there any countries you cannot/are not happy to travel to?

I have read, understood and accepted the Terms & Conditions for Housekeepers

Do you have any questions?

Families register here

Au Pairs register here

Housekeepers register here

Call us now on: 00353 (1) 574 0163 - Ireland
Call us now on: 0044 (0) 208 245 4789 - UK
Open 24 Hours 7 Days a week.

Email us at info@sunfloweraupairagency.com

Address
Suite 10607, 5 Fitzwilliam Square
Dublin 2, Ireland
D02 R744

Address
22 Wenlock Road
London, UK
N1 7GU

Call us now on: 00353 (1) 574 0163 - Ireland
Call us now on: 0044 (0) 208 245 4789 - UK
Open 24 Hours 7 Days a week.

Email us at info@sunfloweraupairagency.com