Full Name : Address: City: Country: What nationality you have:
Required for the interview country and city code: home number:
Mobile E-mail Address:
your Skype Address, for your interview with a family:
confirm your E-mail Address: Personal details Age on departure: Date of birth: Day: Month: Year: Sex: select one Male Female Nationality: Marital Status: select one Single Married Separated Divorced Widowed Placement details
Which areas do you accept? Please give options
City Town Country When would you like to start? Month / year Is this date flexible? would you accept to start before? pls give details How many months would you like to stay? note that the minimum is 6 months Maximum length of stay: (months) Your pictures go here, for a family to see your very best :)!
Use nice photos to show the family what you look like. Choose pictures that are friendly and show your very best smile. If possible, use photos of you interacting with children. Maybe a photo of you ‘in action’ showing your favourite sport or hobby! IF you have more than one send them to:
firstname.lastname@example.org Childcare experience "the most important part"
What ages have you taken care
What ages would you prefer to work with?
You will need a minimum of 80 hours of childcare experience (with non family members) to be considered for this program:
List all your relevant childcare experience Enter each experience entry individually Make sure the details (dates, ages of children) match the details provided by your referees
Childcare Experience 1 Most families have a baby in their family, Do you accept caring a baby if the mum gives you training for some weeks? (leave the box unchecked means not accepting) Please detail your experience with babies : Copy and Paste your Curriculum
Do you have a first aid certificate? select one Yes No Do you accept a family with a single mother? select one Yes No Do you accept a family with a sigle father? select one Yes No More details Your Present occupation: Your Knowledge of English: select one Fluent Good Satisfactory Fair Poor Other languages spoken and level: French level: Fluent Good satisfactory Fair Poor Spanish level: Fluent Good satisfactory Fair Poor Italian level: Fluent Good satisfactory Fair Poor German level: Fluent Good satisfactory Fair Poor Your religion: Are you good at swimming?: Have you previously been an Au pair? if yes, give details
What is the most advanced educational or professional qualification that you have obtained?
Childcare Qualifications / 1st Aid Certificate?
Do you smoke? select one Yes No Do you have a driving licence? select one Yes No I’ve applied which one? select one none Manual car Automatic car Manual and Automatic Australian Will you be able to drive children to school? Yes No
Do you play an instrument? if yes, which one?
Please paste here a Dear family letter
Provide 2 references- someone whose children you have cared for
References should be from jobs related to children, paid or voluntary, it can be babysitting
We can’t proceed your application if you don’t provide the next information:–Full name of person: Reference 1 Did you babysit his/her children? explain his/her telephone number with country & area codes: their full telephone number His/her country and email address: Reference 2–Full name of person:
Did you babysit his/her children?
explain his/her telephone number with country & area codes: their full telephone number; His/her country and email address:
Describe your hobbies and interests?