Fille Au pair

Application form for Au-pairs

Before y apply make sure your nationality lets you get the required visa

Full Name :

Address:

City:

Country:

Home Telephone:

country and city code: home number;

Mobile only if you are already in Australia

E-mail Address:

Personal details

Age:

Sex:

Nationality:

Marital Status:

Placement details

I accept to live with families from:

Queennsland (any city)
Victoria (any city)
South Australia (any city)
NSW (any city)
Perth
Brisbane
Camberra
Adelaide
Sydney
Melbourne
Cairns

Do you accept if we offer you to live in other city?

As au pair you will get between 180 and 250 AUD per week, called pocket money, depending on your experience, Do you accept?
If not, do not continue this form

As Au pair, you must live with the family, do you accept? If not, do not continue this form

When would you like to start? Month / year

How many months would you like to stay?
note that the min is 6

Maximum length of stay: (months)

Your Photo "Compulsory"

Education & childcare experience VERY IMPORTANT TO FILL

Please describe any childcare experience
Include experience paid or voluntaary, babysitting,etc

Areas (example: babysitting, day care centre, au pair....)

Dates (From __ to __)

Names and ages of children (example:Peter - 2 year old, Paul- 3 year old)

Explain with details your childcare experience and duties
example; I was responsible for cooking, feeding, bathing, changing diapers, helping with homework, entertaining the children and some housework.

Frecuency of care given (example:3 hrs twice a week)

Do you have a minimum of 150 hours of TOTAL experience?

Yes How many? No

did you take care of young babies? if yes what age

Do you know how to...
Feed a baby with spoon?
Bath an infant (9-12 months old)?
Bath a toddler (1-2 year old)?

Do you know how to...
Prepare a baby's bottle?
Change a diaper (nappy)?
Feed a baby with a bottle?
Burp a baby?

Yes     No
Yes     No
Yes     No

Yes     No
Yes     No
Yes     No
Yes     No

Preferences

I am ready to help with children aged:

0-1 years
1-2 years
2-6 years
more than 6 years old

Do you have a first aid certificate?

More details

Your Present occupation:

Your Knowledge of English:

Other languages spoken:

Have you previously been an Au pair?

Level of education that you have achieved
(High school -University degree- Practical training)

Do you smoke?

Do you have a driving licence?

which one?

Will you be able to drive children to school? Yes No

About studies
Will you study from monday to friday?

if yes,which days and time will you study:

	Mon	Tue	Wed	Thu	Fri
From: To:

Which visa can you get to come to Australia?

Do you play an instrument? if yes, which one?

Please paste here a Dear family letter

Provide 2 references (compulsory)

We don't place au pairs without references

References must be from any previous job related to children

Ex.while working as babysitter

Reference 1--Full name of person:

Was he/she your previous employeer? if yes, explain

his/her telephone number with country & area codes:
country code: area code: number;
His/her email address:

Reference 2--Full name of person:

Was he/she your previous employeer? if yes, explain

his/her telephone number with country & area codes:
country code: area code: number;
His/her email address:

Describe your hobbies and interests?

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