Children's & Young People's Services

Careers in Childcare

Pre-Registration Form

If you're interested in becoming a childminder, then the first step is to let Bexley's Childminding Development Officer know who you are and that you're interested in becoming a childminder.

Just answer the following questions and we will get back to you as soon as we can. Alternatively you can on telephone us 020 8856 5398.

Name:
Address:
Post Code:
Daytime telephone number:
Email address:
If you do not have an email address please leave the "E-mail" box blank.

Gender:
Age:
Childcare experience:

Please use this box to tell us about yourself, and why you're interested in becoming a childminder.

To help us ensure fair and equal opportunities for all, please take some time to tick on the boxes that apply to you.

I would describe my ethnic origin as:
	Asian or Asian British - Bangladeshi
	Asian or Asian British - Indian
	Asian or Asian British - Pakistani
	Asian or Asian Brtish - any other Asian Background
	Black or Black British - African
	Black or Black British - Caribbean
	Black or Black British - any other Black background
	Chinese
	Mixed - white & Asian
	Mixed white & Black African
	Mixed White & Black Caribbean
	Mixed - any other mixed background
	White - British
	White - Irish
	White - any other white background
Any other - please specify

Are you disabled?
Are you a Lone Parent?

Where did you find out about the site?
	Outdoor Advert
	Bus Shelter or Tram
	Publication - Please Specify
	From a friend
	Search Engine
	Other - please specify