Application

📋 1. Program & Personal Info

Program Selection *

Personal Information

First Name *

Last Name *

Address *

Date of birth *

Nationality *

Passport number

Valid until

Religion

Telephone (country code, city code, number)

Mobile *

E-Mail *

Skype

Facebook Account

🌍 2. Preferences & Family Info

Preferred Country *

Preferred Areas

Where do you prefer to live?

City Near a city Small town/village Rural area

Earliest/latest arrival date *

Latest return date *

Duration in months *

Work more hours for more money?

Yes No

Do you want to attend language classes?

Yes No

Height (cm)

Weight (kg)

Father's occupation

Mother's occupation

Education/Diploma *

Working experience *

Number and age of your siblings

Happy to care for children of any age?

Yes No

If not, which age range do you prefer?

If not, do you accept any age range if you are not solely responsible for the children?

Yes No

Do you accept a...

Single Mother

Yes No

Single Father

Yes No

Do you accept a family without children?

Yes No Possibly

⭐ 3. Experience & Languages

You have experience with...

Children	None	Some	Good
0-12 months
1-2 years
3-5 years
6-8 years
9+ years

Household	None	Some	Good
Ironing
Cleaning
Washing
Cooking
Vacuuming
Gardening

Experience with children with special needs?

Yes No Mentally handicapped Physical disability

Willing to care for children with special needs?

Yes No Mentally handicapped Physical disability

Knowledge of languages

	English	Italian	French	Spanish	Others:
Very good
Good
Sufficient
Low-none
How many years did you learn the language?

Willing to talk with the children a little bit in German?

Yes No

If applying for France, Spain or Italy: Willing to talk with children in English?

Yes No

🚗 4. Lifestyle & Diet

Do you have any special request?

Driving licence?

Yes No

Are you prepared to drive?

Yes No

Since when do you hold a driving licence? (Month/Year)

How often do you drive?

several times per week several times per month rarely

Do you smoke?

Yes No

Do you promise not to smoke in family's house and beside the children?

Yes No

Do you like pets?

Yes No

Do/did you have pets?

Yes No

Would you accept a family with pets?

Yes No

Would you care for them?

Yes No

Which pets wouldn't you accept?

Do you have allergies or do you keep a special diet? Please describe:

Are you vegetarian?

Yes No

If so, are you willing to prepare meat for the kids?

Yes No

Can you swim?

Yes No

Other sports?

Hobbies/Interests/Musical instruments?

📝 5. Background & Letter

Have you ever lived away from home?

Yes No

How long and where?

Emergency contact? *

Do you have any health problem?

Where did you hear about us?

"Dear Family" Letter *

Please write a letter to your prospective host family introducing yourself, your background, and why you want to become an au pair.

I confirm that all information provided in this application is true and complete. *

I have read and agree to the Terms & Conditions and Privacy Policy. *

Danke für deine Bewerbung! 🎉

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