| First Name * |
|
| Surname (Family Name) |
|
| Sex * |
|
| Height (cm) |
|
| Weight (kg) |
|
| Date of Birth * |
|
| Nationality (country) * |
|
| Religion |
|
| Practising |
|
| I live in (home location) |
|
| Type of Location |
|
| Telephone No. |
|
| Mobile No. |
|
| Fax No. |
|
| Email |
|
| Address |
|
| Address (during College) |
|
| Contact Preference |
|
| Contact (2nd Choice) |
|
| Photograph 1 |
|
| Photograph 2 |
|
| Photograph 3 |
|
| Photograph 4 |
|
| Photograph 5 |
|
| You Are... * |
|
| Highest Qualification |
|
| If Working Give Details Below |
|
| If Studying Give Details Below |
|
| Fathers Job |
|
| Fathers Age |
|
| Mothers Job |
|
| Mothers Age |
|
| Age Of Brother 1 |
|
| Age Of Brother 2 |
|
| Age Of Brother 3 |
|
| Age Of Brother 4 |
|
| Age Of Sister 1 |
|
| Age Of Sister 2 |
|
| Age Of Sister 3 |
|
| Age Of Sister 4 |
|
| Number Of Years Of English Study |
|
| How Would You Rate Your English Skills * |
|
| I Plan To Attend Language Classes In The UK (study) |
|
| I Wish To Take Qualifications In English In The UK |
|
| Languages |
|
| Have You Passed A Driving Test? * |
|
| Date Of Issue |
|
| International Driving Licence? |
|
| Licence Of European Union? |
|
| How Often Do You Drive? * |
|
| Earliest Start Date * |
|
| Latest Start Date |
|
| Preferred Period Of Stay - In Months * |
|
| Can This Be Extended? |
|
| By How Many Months? |
|
| Are You Able To Stay In UK Over? |
|
| Preferred Locations |
|
| FamilyType Preferred |
|
| Ages Of Children Preferred |
|
| What Work Are You Prepared To Do In A Family |
|
| Do You Have Any Experiences With Children? |
|
| Childcare Qualification (if yes, specify) |
|
| Please Give Detail Of Childcare Experience (please provide as much information as you can) |
|
| Hobby |
|
| Do You Play Any Musical Instrument? |
|
| If Yes Please Specify (piano, violin, guitar, etc.) |
|
| What Sports Do You Like To Play? |
|
| Can You Swim? |
|
| Do You Have First Aid Training Or Experience? |
|
| What Do You Think About Your Personality? |
|
| How Long Have You Been Away From Home Before (in months) |
|
| Does Your Family Support You In This Application? |
|
| List Any Previous Full-time Jobs |
|
| Do You Smoke? |
|
| If Yes, Are You Prepared Not To Smoke In Your Family House? |
|
| Do You Like To Socialise? |
|
| Do You Exercise? |
|
| Any Special Diet Requirements (vegetarian, vegan)? |
|
| If Vegetarian Are You Prepared To Handle Meat And Fish? |
|
| If Family Vegetarian - Will You Follow A Vegetarian Diet? |
|
| Medical Conditions |
|
| If Other, Please Specify Condition |
|
| All Allergies |
|
| If Other, Please Specify Allergy |
|
| Other Information About Yourself (achievements etc.) |
|
| Have You Ever Had A Criminal Conviction? |
|
| If Yes, Please Give More Details |
|
| Contact Name, Address And Telephone Number In Case Of Emergency |
|
Our short guide to au pair pocket money should help you work out what to pay your au pair..
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