Personal Details
First Name *
Last Name *
Date of Birth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 *
Are you an Australian citizen? YesNo
If no please state current status
Email Address *
Telephone
Mobile *
Address *
Suburb *
State -- Choose State -- ACT NSW NT QLD SA TAS VIC WA *
Postcode *
Country Australia *
Can you speak any additional languages fluently? YesNo
If yes please state
Do you have a drivers license? YesNo
Type of License
Expiry Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
Have you had any driving convictions or violations in the past 3 years? YesNo
Do you have any disabilities or handicaps that would prevent you from performing specific tasks? YesNo
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? YesNo
If yes can you please provide details
Do you have any physical limitations? YesNo
If yes please provide details
Do you have any allergies? YesNo
Would you stay overnight if required? YesNo
Preferred age group you would like to work with
Work Experience
Childcare Years Experience -- Choose Experience -- Less than 1 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Years More than 10 *
What ages have you had experience with? (Not including your own children) Newborns6-24 months2-5 years6-12 yearsTeenagers
Have you had experience caring for the following? Care for twins/tripletsPost Natal CareNewborn CarePutting newborns into a routineAssistance with Infant routine establishmentSleep Routine GuidanceAssistance with BreastfeedingAssistance with settlingOrganising developmental activities for childrenTaking children out on outingsCared for sick or injured childrenAdministered medicationSole chargeStayed overnight to care for childrenTaken children to doctors/hospitals
Have you cared for children with special needs or disabilities? YesNo
Application Details
Do you have a current first aid certificate? YesNo*
Nanny Public Liability Insurance number and expiry:
Do you have a car? YesNo
Have you been police cleared to work with children? YesNo
Are you able to provide relevant current work-releated telphone references? YesNo
Are you applying for a specific service displayed on our website? YesNo
If yes, please provide details of the service Casual night BabysittingCasual day NannyEmergency CareLuxury Overnight BabysittingNanny HousekeepingNight NannyPart-time Day NannyFull-time Day NannyPostnatal CareSleep WorkshopOvernight Sleep GuidanceWedding NannyOther
Home many days/nights are you prepared to work?
What areas are you prepared to work in?
Additional information
Please indicate your availability for an interview MonTueWedThuFriSat
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You must submit your resume either by mail, email or uploading on this form to be registered with Night Nannies.
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Can you please attach a photo of yourself
DECLARATION I certify that the information given on this application form to be true and correct and give permission for NIGHT NANNIES to verify any information, if considered necessary. I agree to treat all information given to me regarding vacant positions as confidential and agree not to pass names and address details of potential employers to any other person.
I have read and agree to the Candidate Agreement