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Pre-Application AuPairCare

Please note that this pre-application is non-binding. It allows us to assess how well you fulfil the AuPairCare programme requirements. Once we have reviewed your pre-application, we will get in touch with you to discuss all further steps. Fields marked with an asterisk (*) are mandatory.

Program Type

Destination Country*

USA

Australia

New Zealand

2nd time Au Pair

Programme Dates

Desired Programme Start*

Please note that there should be a minimum of 8 weeks between the earliest and the latest departure date.

Earliest Departure Date*

Latest Departure Date*

Interview Location:*

Personal Data

Form of address*

First name*

Surname*

Address*

Postcode*

Town / City*

Country of residence*

Telephone Number*

Alternative Telephone Number

E-mail*

Date of Birth*

Citizenship*

Family status*

Do you have a valid driving licence?*

Do you have a valid passport?*

Health Information

Do you smoke?*

Do you have any allergies or special eating habits?*

Do you take any medication on a regular basis or suffer from any chronic illnesses?*

Education

Educational level*

Graduation year*

Further qualifications

Your Child Care Experience

During the past 3 years I have gained practical childcare experience through: babysitting (i.e. cousins, friends) or through work placements, etc at childcare institutions (i.e. nurseries). I know that caring for my younger siblings does not count as an official childcare reference but can be used as an additional reference instead.

1. Name of family / institution*

Time period of child care:*

from

until

How often did you take care of the children?:*

Number and age of children at the beginning of child care*

2. Name of family / institution*

Time period of child care:*

from

until

How often did you take care of the children?:*

Number and age of children at the beginning of care*

Would you be willing to live with a family...

... who has another religion than your own?*

yes

... who has a different ethnic background?*

yes

... who owns pets?*

yes

... with a single mother?*

yes

... with a single father?*

yes

Additional information

How did you hear about us?

Promotional Code

Any further questions or comments:

I do not yet have an AuPairCare brochure and would like to receive one.

Submitting Form Data ...

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Now Accepting Applications For 2011!

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Phone UK: +44 203 286 2042
Phone Ireland: +353 61 748 236
E-Mail: info-uk@aupaircare.eu