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Nanny Application Form
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Nanny/Educator Application Form
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" indicates required fields
SECTION 1: Your details
Official first name
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Official second name
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Name known by / preferred name
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Address
Street Address
Suburb
City
Post code
Phone
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Email
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Date of birth
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DD slash MM slash YYYY
Ethnic origin/s
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Iwi affiliation/s
SECTION 2: Identify verification, criminal record and right to work
Are you a New Zealand citizen?
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Yes
No
If not, do you have resident status? Or
Yes
No
A current work permit
Yes
No
Attach copy of your birth certificate or passport
Drop files here or
Select files
Max. file size: 2 MB.
Accepted file types: pdf(preferred), doc, Max. file size: 10 MB
Have you ever had a criminal conviction?
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Yes
No
If “yes”, please detail:
Have you ever received a police diversion for an offence?
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Yes
No
If “yes”, please detail:
Have you ever been discharged without conviction for an offence?
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Yes
No
If “yes”, please detail:
Are you awaiting sentencing or do you have charges pending?
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Yes
No
If “yes”, please detail:
Do you have a current full New Zealand driver’s licence?
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Yes
No
Attach copy of your driver's license
Max. file size: 2 MB.
Accepted file types: pdf(preferred), doc, Max. file size: 10 MB
Have you ever been convicted of a driving offence which resulted in temporary or permanent loss of licence, or imprisonment?
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Yes
No
SECTION 3: Working with us
Do you have a current first aid certificate?
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Yes
No
If not, will you be willing to obtain one?
Yes
No
Attach copy of your first aid certificate
Max. file size: 2 MB.
Accepted file types: pdf(preferred), doc, Max. file size: 10 MB
Are you aware of any injury or medical condition that could impact on your ability to perform this job effectively?
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Yes
No
If “yes” please detail:
Is there ay reason you shouldn't work with children in terms of child protection?
Yes
No
Please note that if you answer yes, this could impact your ability in registering with us in accordance to Ministry of Education licensing criteria and the children's act.
In addition to other information provided are there any other factors that we should know to assess your suitability for appointment and your ability to do the job?
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Yes
No
If “yes” please detail:
Please describe experience you have had caring for young children (or attach CV if experience is detailed in that):
Attach CV
Max. file size: 2 MB.
Accepted file types: pdf(preferred), doc, Max. file size: 10 MB
Do you have or are you studying for any nannying, childcare or teaching qualifications?
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Yes
No
If “yes” please detail and attach a copy:
Attach copy of qualifications
Max. file size: 2 MB.
Accepted file types: pdf(preferred), doc, Max. file size: 10 MB
What type of Nanny position are you applying for?
Nanny - Permanent
Nanny - Private
Nanny - Casual
Select All
PERMANENT - must hold a certificate in ECE, minimum 15 hours per week, must comply with ministry of education licensing criteria inc daily record keeping and health and safety compliance, fortnightly contact with a qualified and registered ECE teacher and monthly visits PRIVATE - less then 15 hours per week, monthly visits by a registered and qualified ECE teacher CASUAL - families make arrangements for one off or short term care using a booking service to access your availability All nannies must be police vetted, interviewed, reference checked, provide records of work history and obtain a first aid certificate. TERMS AND CONDITIONS APPLY FOR ALL POSITIONS
What days/hours are you available to work?
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What locations are you available to work in as a nanny or area you live in as an educator? (please state which role you are wanting to apply for)
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Do you have a preference of the ages of children placed in your care?
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Yes
No
If “yes” please state:
How did you hear about us?
Internet search
Advertising material
Word of mouth
Other - please provide details below
Please provide details of how you heard about us...
SECTION 4: Declaration
I declare that all the above information is true and correct to the best of my knowledge. I declare that I am fully aware that as a condition of becoming a nanny with Thrive to Five, I must undergo a police vet.
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Yes
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