Au Pair Application Form
Asian
Village/countryside
town
city
White European
What is your main reason becoming an au pair?
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 the longest you can stay?
What is your present occupation?
Are you a driver?
Will you drive in the UK?
What experience do you have
with housework?
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?
Have you ever been convicted of a criminal offence?
Tell us about your family?
How often do you attend?
How did you become a Christian?
What are your hobbies and interests?
Have you taken any courses
in childcare or Health?
How good is your English?
Tell us about your church
Which do you prefer to be?
Which of these would you like to live in?
What kind of ethnic family will you work with?
