Application for a position as an:
Aupair
Aupair plus
Mothers help
Housekeeper
Will you accept a single father or a single mother host family?
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Name:
Date of Birth (dd/mm/yyyy):
Nationality:
Available for interview in the UK:
occupation:
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Available from (dd/mm/yyyy):
Available for:
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Sex?
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Do you practice a religion?
If so, Which?
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Please choose a photograph to show us: |
Height (cm):
Weight (Kg):
Ages and names of siblings:
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Fathers occupation:
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Mothers occupation:
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Do you wish to return home for Christmas?
Any other holidays?
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1. What do you hope to gain from being an Au Pair?
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1b. Please type your personal profile here:
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| 2. Would you enjoy a job which involves a lot of housework? |
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3. Please indicate whether you have experience of:
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Washing:
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Ironing:
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Vacuuming:
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Dusting:
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Tidying:
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Do you like to cook, please enter Yes or No along with any experience you have of cooking.
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5. Which age-group of children do you have experience with?
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0-24 Months:
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2-4 Years:
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5-7 Years:
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8-12 Years:
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Teenagers:
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| What is the maximum number of children you wish to look after?
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| Will you accept a family with a disabled child? |
| Would you accept a family with no children? |
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7. Which age-group do you prefer?
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0-24 Months:
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2-4 Years:
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5-7 Years:
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8-12 Years:
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Teenagers:
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8. Please detail any experience you have had looking after children, including their ages, sex and the duties you carried out. Please include references for the main job listed:
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9. Are you willing to work longer hours than usual for a higher salary?
Will you or would you accept a family with a non British/European culture?
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Would you like to stay in a city, town, the countryside or any particular place:
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13. How would you describe your personality?
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14. Sports or hobbies and activities that you enjoy:
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15. How often would you like to go out with your friends in the evenings?
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16. Are you happy to drive in the host country?
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17. Date you passed your driving test:
(dd/mm/yyyy)
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You drive:
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In the city?
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In the suburbs?
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On the motorway?
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Rural areas?
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18. Do you have any allergies?
If you have answered "Yes", please explain below:
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| 19. Do you require language classes? |
Do you have any special dietary requirements?
Are you vegetarian?
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How would you describe your level of spoken English:
1 = poor, 5 = average, 7 = good, 9 = fluent
Any languages other than english spoken?
Number of years you have studied English:
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| 21. Can you swim? |
22. Do you smoke?
If so, do you agree never to smoke in the house or around the children?
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Do you like animals?
Are you allergic to any animals?
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What pets if any do you like?
Are there any animals that you can't look after? (please specify)
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English applicants only
Target country/town?
Level in the relevant language?
1 = poor, 5 = average, 7 = good, 9 = fluent
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Please fill in your contact details below:
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Please read the following and check the "check-box" to signify that you have understood and agreed to the statement:
I certify that I have understood all the above questions and that I have answered truthfully and to the best of my ability. I understand that a failure to provide accurate information could later lead to my dismissal.
I understand that in my role of au pair, I will live in the family home as part of the family and must respect and observe the ways of the household.
I will make every effort to build a good relationship and friendship with the children of the household and understand also that I will be responsible for the childrens' safety and conduct whenever I am charged with their care. I am willing to participate, when possible, in daily family life and to conduct myself at all times with care and consideration for others.
Please check this box to indicate that you agree with the above statements.
Please do not click more than once
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