Registration Form for Au pairs (Ref: 276MCC)

PLEASE FILL OUT THE FORM BELOW

Name * * Required
Email * * Required * Invalid Address
Tel * * Required
Mobile * * Required
Address * * Required
Date of Birth (dd/mm/yyyy)
Nationality
Current Location

Religion
Do you practise it? yesno
Height/Weight/
Prefer not to say?
Do you smoke? yesno
Are you in good health? yesno
Do you have a police check? yesno

Can you drive? yesno
Are you confident to drive
in the UK? yesno

Mother's Occupation
Father's Occupation
Names and Ages of
your brothers and sisters

Education: list qualifications
Current Employment:
Previous Employment:

What is your level of English?
Other languages spoken:

Experience with children:

Newborns yesno
9 months - 2 years yesno
3-5 yesno
5-10 yesno
Over 10 yesno

Are you happy to work with these age group?

Newborns yesno
9 months - 2 years yesno
3-5 yesno
5-10 yesno
Over 10 yesno

Experience with household tasks of the following?:

Light Housework nonea littlea lot
Laundry nonea littlea lot
Ironing nonea littlea lot
Cooking nonea littlea lot

Do you like Animals? yesno
Do you prefer to be in a town
or a village?
When are you available?
For how long?

Why do you want to be an Au Pair?

What are your plans after you have been an Au Pair?

Upload your CV in Word of PDF Format:

I have read, understood and agreed to the Terms and Conditions
* You need to agree to the Terms and Conditions

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Registration Form for Au pairs (Ref: 276MCC)

PLEASE FILL OUT THE FORM BELOW

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Au Pairs Wanted!

Sitters Wanted!