Au Pair Application Form to USA
Name
Address
Telephone
Mobile phone
email?
Date of birth?
What is your age when you arrive?
Gender
What is your passport Nationality?
What is the earliest date you can start?
What is your present occupation?
What experience do you have with housework?
What experience do you have
working with children?
Are you prepared to work with a single parent?
Can you work with handicapped children?
Do you have any health problems?
Are you a vegetarian?
Do you smoke?
Are you a driver?
Do you like pets?
Tell us about your family?
What are your hobbies and interests?
How good is your English?
What is your main reason becoming an au pair?
Where did you hear about us?
Tell us about your church
How did you become a Christian?
How often do you attend?
Do you have a webcam?
Do you have a SKYPE name?
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