Please complete the boxes below as accurately and completely as you can:
First Name:
Last Name:
Nationality:
Phone:
Email Address:

Country of work: Australia Canada European Union Hong Kong, Singapore, Kuala Lumpur and the Far East New Zealand South Africa United Kingdom United States of America
Other:
City/Town where you work, or last worked:
Your current job: Au Pair Baby sitter Child minder Housekeeper Maternity Nurse Doula Mother's or Father's help Nanny Night Nanny Nursery Nurse Nursery Manager Other
Qualified in childcare?	yes no
VOCR registered (UK only)? What is VOCR?	yes no
Has the recession affected you?	yes no
Are you currently working?	yes no
When are you likely to be looking for a job change? (state months from now e.g. 3, enter 0 if you are looking now, leave blank if unknown):

Enter childcarer email addresses you wish to send us:

Use the space below to add any further information.

Additional Information:

Thankyou, and Good Luck!