Offline:
Please print off and complete the following form in block capitals and return it to Rockinghorse together with copies of all your relevant certificates (NNEB, B.TECH, First Aid), references, C.V., copy of Police Check and a recent photograph.

Online:
Please complete the following form and press submit button, and email the relevant attachments of certificates to Rockinghorse (nannyform@rockinghorsenannies.com).

Name:

Address:

Telephone No.
Home:

Work:

Discreet:
Yes No
Next of Kin (name, address, telephone no):


Mobile:

Fax:

Email:
Date of Birth: . .

Marital Status: 		Nationality:

Husband/partner's job
Details of your own children (sex,date of birth,etc)
 Religion:

No. of brothers/sisters:
Father's occupation: Mother's occupation:

Nanny Maternity Nurse
Permanent Temporary
Live-in Daily
Mother's Help Housekeeper
Full-time Part-time
Baby sitting  

Date available . . To (if temp) . .
Preferred geographical areas of work:
Do you drive?
Is your licence clean? Do you have your own car?
Licence Number and date of issue:

Preferred ages of children:

Expected salary p/w: (nett)
Do you like animals? Yes No
Sole charge preferred?Yes No
Do you smoke?Yes No
Do you like sport?Yes No
QUALIFICATIONS
Please give details of all relevant training and qulaifications (i.e. NNEB, B'TECH, First Aid etc)
YEAR EXAMS PASSED GRADE
Do you speak any foreign language? Which?

WORK EXPERIENCE
Please give details of your three most recent positions, starting with your present employer. If college leaver list recent placements. It is important that we obtain references from all your previous employers. If you do not wish us to contact your current employer until you have given notice, please indicate by ticking box
Employer's name and address 
1. Present position:Job description
Name
Dates
Address
Ages of children
Duties
Salary
Tel no:
Reason for leaving
2. Previous position:Job description
Name
Dates
Address
Ages of children
Duties
Salary
Tel no:
Reason for leaving
3. Previous position:Job description
Name
Dates
Address
Ages of children
Duties
Salary
Tel no:
Reason for leaving
Have you been given sole charge in any previous position?
Please list your hobbies and free time activites:
Are you generally fit and healthy? (please indicate if you suffer from depression, mental illness, epilepsy, diabetes, migraines, allergies, etc.)
Are you taking any medication/treatment at present?
Your height?   Your weight? *(optional)

Please state any special requirements you may wish an employer to offer and a brief description of the type of job you are looking for.
Have you been police checked? Date If not please apply.
Have you ever been in trouble with the police?
If yes, give details

Course Tutor's name
College address
College Telephone no.

REFERENCES

Rockinghorse endeavours to check your entire employment history (where possible). Please write below all addresses and phone numbers of previous employers prior to the those under work experience and a brief detail, i.e. nanny for 18mths. If you have any problems with certain referees please state the problem and we will discuss it with you further. The more referees you can provide the better, so if you are at the start of your nannying career or have had a gap, please try and think of any other referees (e.g. babysitting).