| Personal Details |
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| Name |
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| Country of origin |
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Country of present nationality
(if your nationality is not listed you cannot be an au
pair in the UK) |
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Please note that if you are applying from
either
Bosnia-Herzegovina, Bulgaria, Croatia, Macedonia (FYROM),
Romania, or Turkey,
when you have an offer of placement you will need to apply to the
British Consulate in your area for a visa.
It's a good idea to send for the application papers now. |
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| Date of birth |
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| Age |
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| Place of birth |
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| Religion |
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Educational
qualifications
(give the name of your secondary school and/or University, the main course followed,
and qualifications gained) |
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What
are your plans when you return home?
(further education, employment) |
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| Details
of present employment or occupation |
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| Language |
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| Home language |
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| Other languages |
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| How well do you speak and understand English? |
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How
long have you been studying English?
(give exam results or certification gained) |
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Do you want to go
on a language course,
whilst in England |
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| Would you like to
take one of the recognised exams at the end of your course? |
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| Domestic |
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| What kind of
housework do you usually do? |
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| How good is your cooking? |
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| Domestic |
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| Have you previously looked
after children? |
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If "yes", how old were they?
and describe what sort of things
you did with them? |
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| Would you like to live in a family with pets? |
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| Tell us about your hobbies and interests |
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| Can you swim? |
click for 'yes' |
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| Do you have a Car Driving Licence? |
click for 'yes' |
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| If yes, the year you qualified |
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| Can you ride a cycle? |
click for 'yes' |
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| Are you a smoker ? |
click for 'yes' |
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| Are you a vegetarian ? |
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Would you be happy to be placed:
click for 'yes' |
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| Do you have any allergies? |
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| How much time off would you prefer to have?
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Will there be particular times you will need
to be free ?
(eg. church services, sport activities,
study classes) |
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Is there anything
else you need to tell us, which is not already on this form ?
(if not, you do not need to write in this space) |
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| When would you like
to start as an au pair ? |
| |
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| and finish? |
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Are you registered with any other agency
for this period? |
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| Contact Details |
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| Home address |
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Correspondence Address
(if different from home address) |
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Telephone
(if you have no home number please give us a telephone number where we can leave a
message for you, and say the person whose phone it is) |
|
Fax
(say if it is at home, parent's workplace, local post office, etc) |
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E-mail
(it is important that you check your e-mail regularly) |
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|
 |
Undertaking - Please make sure you understand this
agreement before sending your application.
I certify that the information given in this application is to my knowledge and belief
true.
I undertake to keep the euro pairs agency informed of any changes.
After agreeing a placement arranged through euro pairs, I undertake not to leave
that family without giving one month's notice to the family and to the agency, to keep euro
pairs informed of any change of address while in the UK, and not to register or agree
to a placement through any other agency without the express written permission of euro
pairs. |
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| Signed |
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After sending this
form, you should also send your photo.
It should be a nice close-up, about passport size.
You can send it as an e-mail attachment in any normal format, or by post.
E-mail and postal addresses are below. |
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