Become an Au Pair

Do you have a passion for kids? Fill in all the questions on the form below to set up an interview to become an Au Pair! MUST HAVE OWN CAR AND VALID DRIVERS!!

Personal Details

First Names
Surname
ID Number
Age
Ethnicity
Language/s
Gender
Are you male or female?
Residential Adress
Marital Status
Are single, married, devorced or widdowed?
Dependents
Drivers License
Do you have a valid drivers license?
Driving Experience
If you do have a drivers license, for how long have you had it for?
Car Make and Model
Cell Number
Home Telephone Number
Email Address

Family Details

Fathers Name
Fathers Occupation
Mothers Name
Mothers Occupation
Siblings
Do you have any siblings? If so, how many?
How would you describe your family?
How would you describe your relationship with your family?

Characteristics

A little about yourself
Religion
s it important that your Au Pair family is the same religion as you?
Do you smoke
If you are a smoker, will you agree to not smoke in the family home or around the children?
Can you swim?
Do you have any disability?
If so, kindly specify what disability you have bellow
Do you suffer from any emotional, personality or nervous disorder?
If so, kindly specify what disorder you suffer from bellow
Do you have any allergies?
If so, kindly specify what allergy you have bellow
Are you on any medication?
If so, kindly specify what medication you take bellow
What are your hobbies/interests?
What are your long-term goals?
How would you describe yourself?
How do other people describe you?
How do other people describe you?
Why do you want to be an Au Pair?

Education & Qualifications

Child Care Course
Have you taken part in any formal child care training, if so please specify bellow
Au Pair Courses
Have you taken part in any formal au pairing training, if so please specify bellow
First Aid Course
Have you taken part in any formal first aid training, if so please specify bellow
Other Courses
Have you taken part in any other formal training courses, if so please specify bellow
Do you have any plans to study further
If so, what would you like to study?

Childcare Experience

Field Description
What age groups do you have experience with?
eg: 2 - 5 yrs
Do you have any experience with mentally/ physically handicapped children?
If so, please explain bellow
Do you have experience working with children with ADD/ADHD, learning or behavioural Issues?
If so, please explain bellow
Do you have any Au Pair Experience?
Do you have any Babysitting Experience?

Requirements & Expectations

Desired Commencement Date
Desired Duration
Preferred Area
Please list the areas in which you would prefer to do au pair work
Accomodation
Would you prefer to live in or live out?
Expected Salary
Avalaibility
Please specify when you are available to au pair, eg: Monday - 1pm - 3pm, Tuesday 1pm - 8pm etc...
Amount of Children
What is the maximum number of children you feel you would be able to cope with?
Child Background
Do you have any preferences regarding the sex, ethnicity and ages of the children you will look after?

Au Pair Duties

Please select the duties bellow that you are willing to perform
Get children up and ready in the morning
Prepare breakfast for the children
Pack lunches for the children
Take children to school
Fetch children from school
Prepare lunch/snacks for the children
Take the children to extra mural activities
Supervise Homework/assist projects
Take children on outings
Prepare dinner for children/family
Bath the children:
Run errands for family
Grocery shopping for family
Travel with family
Stay in occasionally
Occasional babysitting
Other
Please specify bellow

Declaration

By submitting this application form
I certify the above to be accurate and truthful and I understand that it is my responsibility to inform Au Pair Select of any employment, either temporary or permanent offered to me by persons (and their agents) to whom I have been introduced by Au Pair Select.
I agree to the Au Pair Select Terms Of Service
Click here to view the Memorandum of agreement