APPLICATION FOR EMPLOYMENT
Name:
Address:
Postcode:
Home Phone:
Work No:
Mobile No:
Email:
DOB:
Aus Resident:
Y:
N:
Visa No :
Expiry:
Languages:
Smoker:
Y:
N:
ABN:
Y:
N:
Drivers License
Y:
N:
Car:
Y:
N:
Own Car:
Y:
N:
Can AIM contact you via sms? Y:
N:
Hobbies/Interests:
Term of employment: casual:
fulltime:
part time:
live in:
Preferred Location:
Hourly rate sought: $
Notice Required:
Number and age of dependants:
Education /Qualifications
Childcare /Nanny:
First Aid Certification /CPR:
Special needs care:
Nursing:
Teaching:
Life saving certificate / Austswim:
Screening and Background Checks
Police check:
Working with children check:
Experience Age groups
Under 1 yr:
2 – 4 yrs:
4 - 6 yrs:
6 - 8 yrs:
8 - 10 yrs:
Over 10 yrs:
Availability
Weekday
Day
After School
Evening
24 Hours
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Please check boxes
Participation in family vacations/outings:
Preparation of family meals/snacks:
Preparation of children’s meals/snacks:
Preparation of special dietary requirements:
Care for pets – walking/feeding/bathing:
Cleaning - children/family play areas:
Bathing of children:
Laundry – children/family:
Ironing – children/family:
General errands – shopping etc:
Plan/participate in children’s outings:
Dispensing of medication:
Referee's
Referee Name:
Period of employment:
Reason for leaving:
Referee Name:
Period of employment:
Reason for leaving:
Referee Name:
Period of employment:
Reason for leaving:
Terms and Conditions:
- Private bookings are not to be made between the family (including friends and other family members) and the nanny / babysitter.
- You consent to completing the relevant criminal and working with children checks prior to placement.
I agree to abide by the terms and conditions and the information I have provided is true. I give my permission for you to verbally check my references with previous employers.
