Nanny Registration Form

If you wish to register with Holly's House please complete the form below and once complete click submit. If you prefer you can print the form (click here for printable version), complete it and post it back to us at:

Holly's House Nanny Agency
16 Ford Road
Bromsgrove
Worcestershire
B61 7DF

Once we have received your completed form we will contact you and arrange for you to attend an interview with us.

Personal Details

If yes please specify ages

If yes please be as specific as possible including any medication you may be taking

If yes please indicate if you own your own car

If yes please specify

Qualifications

Please specify all relevant qualifications you hold

Job Requirements

Please select all that apply

Please state here any other job requirements you have

Please state any hobbies or interests you have that you feel may be relevant to your application

Agreement

By submitting this form I certify that all of the above information is true and correct to the best of my knowledge.I understand that all information passed onto me through Holly's House is strictly confidential and will not be disclosed to any other person without prior written consent.If I become employed directly or indirectly through Holly's House or re-employed a further time by a client of Holly's House I will advise Holly's House within 10 days.  I will ensure that theemployer is notified that a placement fee will be applicable