Nanny Registration Form Name * First Name Last Name Email * Phone * (###) ### #### Are you an Australian/ New Zealand Citizen or Permanent Resident? * Yes No Date of Birth * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Tell us about what you're currently doing? Working/studying? * How far are you willing to travel? * When are you available to commence work? * MM DD YYYY How many hours a week would you like? * What days of the week are you available? * Monday Tuesday Wednesday Thursday Friday Saturday Sunday What is your expected pay rate (minimum)? * What do you enjoy about working with children? Do you have any health issues that would impact you working with children? * Do you have the following documents and certifications? (if yes, please upload below) Current WWCC First Aid and CPR National Police Clearance Full Clean Driver's Licence Two Child Related Reference Letters What is your preffered length of contract? 6 Months 12 Months I agree to terms and conditions * View the terms and conditions here I agree Thank you for your registration. Keep an eye on your emails for the next steps.Kind Regards,The Nanny Connection