Au Pair Application Form:

How to apply

Online registration is the fastest method of registering with us, and getting yourself listed on our website.
If you need help filling in this form you can phone us on +44 208 537 3253

We would like to thank our au pairs, who through their recommendations
are contributing to the success of this business

Contact Details:

First Name		Required
Surname		Required
Please enter an EMail address you have access to. In order to complete your registration we will send you an EMail with a link you must click to complete the registration process. This is done to confirm your email address is valid, and reduce problems with au pairs trying to contact you.
E-Mail Address:		Required
Confirm E-Mail Address:		Required

Address 1		Required
Address 2		Required
Address 3		Optional
City		Required
Postal Code		Optional
Phone Number (Home)		Required
Phone Number (Evening)		Optional
Mobile Phone Number		Optional

All applicants from the 27 EEC countries can apply to be an au pair without a visa
All applicants from Turkey, Romania, Bulgaria can come as au pairs but require a visa from their country of origin before they can come
All applicants from Canada, New Zealand, Australia, South Africa and from the old commonwealth can apply on a working and travelling visa
All applicants from any other country can apply on a student visa but in doing so cannot use their right to work 15 hours a week in another employment

Country:

Required

Personal Details:

Date Of Birth	Day: Year:	Required
Nationality		Required
Religion		Optional
Marital Status	Single Married Divorced	Required
Sex:	Female Male	Required
Numbers of Brothers/Sisters if any		Optional
Father's Occupation		Optional
Mother's Occupation		Optional
Hobbies and interests		Optional

Au Pair Options:

Driving:

Do you drive?	Yes No	Required
Do you have a driving license?	Yes No	Optional
Are you willing to drive in the UK?	Yes No	Optional
How long have you been driving?		Optional

Education:

Abilities:

Health:

Experience:

Give Details of Your Work Experience		Optional
Give any details of childcare experience		Optional
How did you hear of aupair.uk.com?		Required

Website Password

In order to contact families on this website you will need to login using a password. Please enter the password you would like to use below, and again in the confirm box to ensure no spelling mistakes are made.
Password		Required
Confirm Password		Required

I declare that all the information provided by me is true and accurate and that I will abide by the Terms of Business

Suggestion Box

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Are you already in the UK?	Yes No	Required. If you are already in the UK, choose the date you would like to start work below.
When do you want to come to UK?	Month: Year:	Required
Are you staying for the Summer Holidays?	Yes No	Required
How long do you wish to stay?		Required
Do you already have your UK Visa?	Yes No	Required
Which Visa are you coming over on?		Required
Would you prefer to be placed in?	London A Town near London A Town A Village Rural Location Anywhere Other (Please specify)	Required
Would you like to be placed as	Au Pair Au Pair+ Do not mind	Required
Are you happy to care for children of any age?	Yes No	Required
If not, which age range?		Optional
Would you accept a position in a one parent family?	No If Mother only If Father only Yes (either)	Required

Education and Exams passed		Required
How long have you studied English?		Required
Spoken English ability	Slight Basic Good Fluent	Required
Other languages studied		Optional
Will you want to study in college?	Yes No	Required
Are you currently ...?	Unemployed Studying Employed	Required
Do you have a criminal record?	Yes No	Required

Cooking	Babies Basic Family	Required
Housework	Yes No	Required
Washing	Yes No	Required
Ironing	Yes No	Required
Sewing	Yes No	Required

Do you smoke?	Yes No	Required
If yes, how many cigarettes per day?		Optional
If yes, would you agree not to smoke in the house?	Yes No	Optional
Are you suffering from any medical condition that will affect your work?	Yes No	Required
If yes, please give details		Optional
Are there any animals you dislike or are allergic to?	Yes No	Required
If yes, please give details		Optional
Are you pregnant?	Yes No	Required
Are you asthmatic?	Yes No	Required
Are you epileptic?	Yes No	Required
Are you diabetic?	Yes No	Required