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Cupcakes Nanny Agency
Parent Registration Form
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Title:
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Full Name:
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Full Address & Post Code:
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Home Telephone:
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Mobile Telephone:
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E-mail Address:
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Children's Ages and Gender
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Position to be filled:
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Doula
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Cover Position
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Nanny
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Mother's Help
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Maternity Nurse
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Housekeeper
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Babysitter
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Full or Part Time?
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Perm or Temp?
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Required to Start:
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How Long Required for
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Live In or Live Out?
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Which Days Per Week:
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Friday
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Monday
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Tuesday
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Saturday
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Wednesday
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Sunday
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Thursday
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Max Hours Per Day
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Net Salary Offered:
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Per Week
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Per Hour
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Is a Car Driver Essential?
Yes or No
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Does the job come with
use of a car? Yes or No
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Do you require an Ofsted registered nanny , in order that you can claim tax
credits or childcare vouchers?
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Would you accept a nanny with own child?
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Would you like to register for
Cupcakes Payroll Service? Yes or No
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Any Additional Information or Special
Requirements.
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To help us with our marketing, please can
you tell us how you found out about
Cupcakes?
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DECLARATION
I declare that the above information is, to the best of my knowledge, true and correct at the time of
signing and that there have been no relevant omissions.
I declare that I have read and understood the Terms of Business.
I give my consent for information held within this document to be given solely only to prospective
candidates for the position I requested Cupcakes to fill. No information shall be given to any other
third party unless my consent has been requested.
I have read, understand and agree with the Declaration above:
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Once you have submitted this form, an online confirmation page should appear. If this
does not appear, your form will not be received. Please try again.
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It is Cupcakes policy that any registering applicant or nanny will not be discriminated against for their age, sex, race or disability.
Under the Data Protection Act 1998, we are obliged to inform you that we hold information about your registration on a database
and you are entitled to view this data yourself when you request it in writing. (A charge may be required for administration) . Data
Protection Registration No. Z1554594. Please note: We may choose to advertise your vacancy on other reputable job sites and in the
local press. No personal information will be disclosed.
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