au pair online application form
	1. Personal Details Surname First Name Sex female male Street Town County Postcode Telephone Number Email Address Date of Birth Age Nationality Religion Passport Number Next of Kin Name Next of Kin Address Next of Kin Telephone 2. Your Requirements When do you want to come to the UK? How long do you want to stay for? Minimum Stay Maximum Stay From which date can you start work from? Type of position required Au pair Au pair plus Do you have any preferences for religion or nationality of your family (if yes, please state preference) Do you have any preference for the age of the children (if yes, please state preference) Do you have any preference for how many children you are happy to look after (if yes, please state preference) Will you accept a single parent family Single MotherYes No Single FatherYes No Would you accept working for a family with no children Yes No Would you accept working for handicapped children (if yes, please state any previous experience) Do you prefer to live in Town Village City Are you willing and able to assist with: IroningYes No Light houseworkYes No Caring for petsYes No Care for babiesYes No Cooking for familyYes No Cooking for childrenYes No ShoppingYes No GardeningYes No WashingYes No BabysittingYes No 3. Education / Employment Details What was the last school/college/university attended What are the examinations/qualifications you obtained How long have you studied English English level Please Select >>BasicFairGoodFluent How long have you spoken English Details of other languages spoken and what level Do you have any first aid or any other certificates (i.e. swimming, music, sport etc) Do you have any formal childcare qualifications (If yes please state which qualifications) Have you been an au pair before (If yes please state details) Please also detail any childcare experience you may have had, for example babysitting, looking after sibling's etc 4. About Your Family Do you have any brothers/sisters (please state names and ages) Mothers' occupation Fathers' occupation 5. Additional Information Do you intend taking a language course Yes No What is the longest period you have been away from home Do you live with your parents (If no, please state where you are living) Do you have any health problems including any allergies (If yes, please give details) Do you have a criminal record (If yes, please give details of offences and dates) Do you swim Yes No Do you smoke Yes No Are you a vegetarian Yes No If yes, are you prepared to cook fish & meat Yes No Do you like animals Yes No Do you have a driving licence Yes No If yes, how long have you been driving Would you be happy to drive in the UK Yes No Please state any hobbies or interests or any other relevant information that will aid us in finding the best possible family for you. Thank you for taking the time to fill out this form. In order that we can improve our service to you, please can you let us know how you heard about e-aupairs. 6. Declaration I declare that all the details given by me on this application form are correct. 7. Send Application Click "Send" to submit your application.