Au Pair Application Form

Fields marked with an * are required

Personal Information

First Name*

Last Name*

Email Address*

Birthday*

Address 1*

Address 2

City*

State*

Zip / Post Code*

Country*

Landline Phone

Cell Phone*

Skype

Facebook

Website

Country of Birth*

Citizenship*

Passport Number*

Passport Expiration*

Emergency Contact Details

First Name*

Last Name*

Relationship to You*

Phone*

Email*

Address 1*

Address 2

City*

State*

Zip / Post Code*

Country*

Program Information

Start Date*

Finish Date*

Previous work experience

Father's Profession*

Mother's Profession*

Brothers and sisters names and their ages

1. Name
Age

2. Name
Age

3. Name
Age

4. Name
Age

5. Name
Age

6. Name
Age

When did you leave school? *

Qualifications (degrees, diplomas)

What are your career plans?

Do you like babies?

How many children are you willing to look after? *

What ages of children do you prefer? *

What is your experience with children and their ages

What are the interests, hobbies and childcare related activities you can/would undertake?

Are you an animal lover?

Have you ever been away from home (traveling or studying) and, if so, why, when and for how long?

Do you understand that you will be expected to help with the child care related light housework?

Do you understand that you might be asked to baby-sit twice weekly in the Au Pair program and twice monthly on the Work-Study Program?

Do you smoke?

If you smoke, would you be willing to smoke only outside of your host's home?

Do you have a full driver's license?

Can you drive a stick shift?

Do you have any health problems?

If so, please explain below

Do you have health insurance?*

Which?

Additional Questions

Do you speak other languages?

If yes, what languages and what level?*

Do you have any allergies or diet requirements?*

How did you learn about BEST´s Program?*

I agree to the Terms & Conditions and Cancellation Policy*

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