Au pair information


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	Call us now on: 0207 792 2883 or email: help@nhap.co.uk

Register with us

Please fill in the boxes, answering all questions fully and honestly, and then press Submit.

NB- WE ONLY PLACE AU PAIRS WHO ARE ALREADY IN LONDON AND AVAILABLE FOR INTERVIEW.

If you would rather download and send us this form via post, then please click here

Personal details

First name
Last name
Gender	Male Female
Age
Date of birth
Height	m
Weight	kg
Nationality

Contact details

Address
Home telephone
Work telephone
Mobile
Fax number
Email address

Placement details

What date do you wish to start your placement?
What is the latest date that you can start?
How long do you wish to stay for?	months

Family details

Father's profession
Mother's profession
Brother's ages
Sister's ages

Education

Please give a brief description of your education, the subjects you have studied and enjoyed, your qualifications and any other information you consider relevant.

How many years have you studied English?	year(s)
What is your level of spoken English?	Poor Fair Good Very good Excellent
Which other languages do you speak?
Do you wish to attend English classes?	Yes No

Childcare and Family Home Experience

Please describe what you have done for the last 3 years and your childcare experience.

Would you consider a family with ...	0 children? 1-3 children? 4+ children?
Which ages of children will you care for?	0-1 years old 1-3 years old 4-7 years old 7+ years old
Would you accept a single ...	Mother? Father?

Driving

Do you have a driving licence?	Yes No
Will you drive in the UK?	Yes No

Health

Do you smoke?	Yes No
If you smoke, would you be prepared to not smoke in the family home?	Yes No
Do you have any illnesses or injuries?	Yes No
If 'Yes', could you please give details
Will you go to a family with cats and dogs?	Yes No
Do you have any allergies?	Yes No
If 'Yes', could you please give details
Are you a vegetarian?	Yes No
Would you accept a non-vegetarian family?	Yes No
Can you swim?	Yes No

Work duties

Are you able to carry out the following duties?

Cleaning?	Yes No
Cooking?	Yes No
Ironing?	Yes No
Gardening?	Yes No

Area preferences

Would you accept a position in ...	the country? a (small) town? a (large) city?
Would you prefer to be in a specific area?	Yes No
If 'Yes', please give details

Previous travel

Have you travelled to other countries before?	Yes No
If 'Yes', please give details
Have you lived away from home before?	Yes No
If 'Yes', please give details
Are you in the UK and available for interview?	Yes No
Where are you based?

Other interests

Could you please describe your other interests and hobbies.

Other information

Do you have any visible tattoos or body piercings?	Yes No
If 'Yes', please give details
Do you have a criminal record?	Yes No
If 'Yes', please give details

IMPORTANT

The information you have given us here will help us match you to a suitable family.

Before we will be able to match you with a family, we will also need you to send us:

- 2 references from people that you have worked for, from a family who's children you have cared for, or a former teacher.

- a letter of introduction about yourself to the family, including your hobbies and your background.

- 2 recent photographs.

Submitting this registration form, either via email, online, fax or post indicates your acceptance of our terms and conditions of business.

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