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New Candidate Application Form - Au Pair

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Surname
First Name
Gender
Phone Number
Mobile Number
Address (Current)
Email Address
Web Page (MySpace, Facebook .)
Residence Country
Date of Birth
Nationality
Current Occupation
Religion
Languages Spoken
Do you have any childcare experience?
If Yes how many Years?
Name of Last Employer
Address of Last Employer
How many children did you care for?
How old were the children?
Why did you stop working there?
Please explain why you want to be pr work as an Au Pair. Give as much information as you can.
Do you have any health problems or disabilities?
Please give details
Do you smoke?
Can you drive?
How long have you been driving for?
Are you willing to drive for your host family?
Can you swim
Do you like animals
Do you have References?
What are your hobbies and interests?
 
 
What type of job are you looking for?  
 
Live In Aupair Live Out Aupair
 
Au Pair Plus Mother's Help
 
Earliest Start date available Minimum length of stay(months)
 
Latest Start date available Maximum length of stay (months)
 
Do you want to attend English Classes ?
  Yes   No
Are you willing to help with:
Baby sitting Housework
 
Cooking Ironing / Laundry
 

Would you work for a:
Single Mother Family with different religion
 
Single Father Family without children
Would you care for
An Elderly person A disabled person
Days You���re Available To Work
Monday AM PM
Tuesday AM PM
Wednesday AM PM
Thursday AM PM
Friday AM PM
Saturday AM PM
Sunday AM PM
 
What locations will you prefer to work?
 
Expected Weekly Rate Of Pay: ?
 
How Did You Hear About Us: ?
 
 
 

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