Agency Application

Please use this form if you wish to apply to be an Agency Babysitter & be directly referred to families.

* Indicates Mandatory Fields

Section A: Your Details

*First Name:         *Last Name:         *D.O.B:      

*Address:              *Suburb:                 *Postcode:

*Email:                     *Phone:                    *State:       

*Gender:          

Please Select If You Have The Following;

You must be able to provide copies of these documents for your application to be successful

*National Police Check:    

*WWC Check Or Blue Card:      

*First Aid Training:        

Do You Have A;

*Driver's License?:                  *Car?:

If you do not have a license or car please describe how you will travel to & from babysitting sessions?

Section B: Your Preferences

Select all that apply

Regular Babysitting:         Casual Babysitting:         Before & After School Care:

What Hours Are You Prepared To Work?

Day:          Evening:             Both:

What Days Are You Available To Work?

*Please List Specific Days:

What Age Groups Would You Prefer To Care For?

             Newborn:        6 Month - 2 Years:     

2 Years - 5 Years:                    5 Years Up:

How Many Kilometres From Home Are You Prepared To Travel For Work?

Up To:

Section C: About You

*Are You Able To Babysit Most FRIDAY & SATURDAY Nights?

*Are You Able To Access Your Email EVERY Day?

*Can You Commit To Our Agency For At Least 6 Months?

What Languages Do You Speak?

Do You Play Sport, If So Which Sport/s:

What Are Your Hobbies & Interests?

Are You Currently Studying? If So, Where?

Work History Details - Childcare Related

Work History Details - Other Industries

(eg. epipen training, play an instrument etc)

Please Write A Short Description Of Your Personality

*

Please Provide 2 Contactable References

We Prefer Childcare Related Referees

Reference 2  

   Name:
   Phone:
Job Title: