Employment registration form

If you are interested in working as an au pair in Australia, UK, Germany or France, please fill in your details below. Make sure that you have a recent photo of yourself and an up-to-date resume as they are required to be attached with the form.

We will contact you as soon as possible.

Please note that some phones (such as iphones) are not able to upload documents, so to upload your resume you may need to use a computer to fill in this form.

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First name*

Family name*

Email address*

Residential address*

Preferred phone number*

Alternative phone number

Are you:*

Female

Male

Date of birth*

Are you in Australia now:*

Yes

No

Nationality*

What languages do you speak*

Are you an Australian resident:*

Yes

No

What Visa do you have:*

Working holiday Visa

Student Visa

How many hours per week will you be studying*

Type of Position :*

Live in

Live out

Passport number:*

When are you available to start work as an au pair:*

How many months are you available to commit to a family:*

Please describe in detail your childcare experience*

Please include age groups of children, qualifications, first aid etc.

Do you have any brothers and sisters:*

Yes

No

Please specify the ages of your brothers and sisters*

International Drivers Licence:*

Auto

Manual

Do not have

How many years have you been driving*

Can you swim :*

Yes

No

Do you suffer from any medical conditions or are you on any medication:*

Yes

No

Please specify your medical conditions or medications*

Do you have any allergies:*

Yes

No

Please specify your allergies*

Do you have any special dietary requirements; e.g., vegetarian, gluten free:*

Yes

No

Please specify your dietary requirements*

Do you smoke:*

Yes

No

Please attach your CV / Resume*

Please attach a recent image of yourself*

Do you have any other information you’d like to include

How did you hear about our agency*

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