Application - Au Pair for the UK

PERSONAL INFORMATION.

Name *

Address

Country

City

Zip code

Date of Birth *

How old will you be when you want to start?

Phone Number (Land line)

Mobile Number

SKYPE

Email *

What social media communications do you use?

Facebook

Instagram

This helps us connect you with other au pairs

Passport Nationality *

Gender

Female

Male

Next of Kin Contact Details

Name, phone number and email address for emergencies

Are you a vegetarian?

Yes

No

Do you smoke?

Yes

No

Do you have any piercings or tattoos? If so please specify.

Do you have any health problems? *

Have you ever been convicted of a criminal offence?

If yes, please give details.

How will you make new friends? Will it be easy for you?

Are you dating someone?

Yes

No

What do your parents think of you becoming an au pair?

YOUR AU PAIR OPTIONS.

What is your main reason for becoming an au pair?

Earliest date you can start *

Pick a date from the calendar

What is the longest that you can stay?

From 6 to 24 months, or summer pair.

What is your present occupation?

What type of au pair would you like to be?

Au pair (up to 25 hours per week)

Au pair Plus (30 hour per week)

Mother's Help (35 hour per week)

Any

You can choose multiple options for more opportunities

Where would you like to live as an au pair?

Village

Town

City Suburb

Any

You can choose multiple options for more opportunities

What kind of ethnic family will you work with?

Caucasian

Black

Any

Choose widely for best opportunities

Do you like pets?

Are you a driver? *

Yes

No

In progress

Are you prepared to work with a single parent?

Yes

No

Not sure

Can you work with handicapped children?

Yes

No

Not sure

Do you want to work with babies?

You will need to supply a reference of 50 hours experience if you do.

Yes

No

YOUR EXPERIENCES.

What experience do you have with housework?

What experience do you have working with children? *

How good is your English?

Basic

Good

Very good

Native

Have you taken any courses in childcare or Health?

Yes

No

What are your hobbies and interests?

RELIGIOUS AND FAMILY BACKGROUND.

Tell us about your family

How did you become a Christian? *

Tell us about your church *

How often do you attend?

What are your plans when you return home?

UPLOAD PHOTO AND SUBMIT.

Have you applied to any other agencies? If so, which ones?

Where did you hear about us?

In submitting this application form you are agreeing not to make a private au pair arrangement for yourself or a friend with one of our families, either before or after coming to the U.K.
Depending on the size of your photo the submission of the form might take a minute or two longer – PLEASE DO NOT CLOSE THIS WINDOW UNTIL YOU GET A SUCCESS MESSAGE.

Upload your photo

Important information

We will keep your data on our computers for up to two years after which it will be erased. It will only be shown to applicants from our website. At any time you can ask us to delete your data.

Captcha *

reCAPTCHA is required.

Textarea

APPLY TO BE AN AU PAIR IN THE UK.

PERSONAL INFORMATION.

YOUR AU PAIR OPTIONS.

YOUR EXPERIENCES.

RELIGIOUS AND FAMILY BACKGROUND.

UPLOAD PHOTO AND SUBMIT.