This form should be used by Childminders living in Nottinghamshire to submit childcare vacancies to the Nottinghamshire Children’s Information Service. We can then provide details of your service to parents and carers looking for childcare provision in Nottinghamshire.

Please complete all the fields to tell us about your childminding vacancies for the next three months. When you have submitted the form, your information will be automatically sent to the Children’s Information Service who will update your details the next working day.

Fields marked with an * must be completed.

Your details

*Salutation:	Choose option Miss Ms Mrs Mr
*First/middle names:
*Surname:
*Ofsted registration number (found on your registration certificate):
Full address:
*Postcode:
*Daytime telephone number:
Mobile telephone number:
E-mail address:

Vacancy details

Please fill in the number of vacancies you have for the following ages:
*Under 1 year old:	Choose number 0 1 2 3 4 5 6
*1 year old:	Choose number 0 1 2 3 4 5 6
*2 years old:	Choose number 0 1 2 3 4 5 6
*3 years old:	Choose number 0 1 2 3 4 5 6
*4 years old:	Choose number 0 1 2 3 4 5 6
*5 years old:	Choose number 0 1 2 3 4 5 6
*6 years old:	Choose number 0 1 2 3 4 5 6
*7 years old:	Choose number 0 1 2 3 4 5 6
*8 years old:	Choose number 0 1 2 3 4 5 6
*Total number of vacancies:	Choose number 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
Any additional comments about your vacancy(ies):
*What are your cost details? (Please state if per hour, session, day, half day, week etc):
*What hours do you operate?
*Please list the full names of the schools you pick up from:
*Would you like to receive a full copy of your childminding details to be posted to you for you to update?
Yes No
*I agree that my name, address and telephone number can be made available in writing to parents/carers looking for childcare:
Yes No
*I agree that my name, address and telephone number can be given out over the telephone to parents/carers looking for childcare:
Yes No
*I agree that this information can be displayed on the Children's Information Service website (www.childcarelink.gov.uk/notts) and understand it may be accessed by residents of other countries who do not have a Data Protection Act:
Yes No
*If you agree to your information being displayed on the internet, would you prefer:
Name, general area and your contact telephone number to be displayed Name, general area and the Children's Information Service telephone number to be displayed

Data Protection Act 1998

The personal information collected on this form will be processed on computer to provide and manage the information or service that you have requested. For further details regarding your privacy please see our Privacy Statement.