Please fill out this form in preparation of your supervision meeting at least 3 days prior to your meeting. Thank you.

Your Details


The Nursery


Your Role

  • What targets are you working towards?


  • On a scale of 1 to 10, 1 being the lowest and 10 being the highest, please rate the following:

Health Declaration

  • Please complete your health declaration fully. If you fail to declare significant information about your health, we may judge that you are not suitable to care for children and/or young people.
  • If you have answered YES to any of the above conditions, please provide details of any date(s) you received treatment and the length of time you were on sick leave.

Suitability Declaration

  • Please answer the questions below to demonstrate that you are safe to work with children. If there are any aspects of the declaration that you are not able to meet, you should disclose this immediately to the manager/senior responsible for your recruitment.