Update
 | Name | |
| Registered as | ||
| Gender | Woman | |
| Date Of Birth | 0 0 | |
| Country | ||
| Your nationality | ||
| About me | ||
| Address | ||
| Religion | ||
| Do you practice your religion? | No | |
| I Have A Passport From | ||
| I Have A Visa For | ||
| Postcode | ||
| Phone number | ||
| You Speak This Language Fluently | ||
| You Have Basic Knowledge Of | ||
| Are you a smoker | No | |
| Do You Have A Driving License | No | |
| Years Of Education Completed | ||
| Years Of Childcare Experience | ||
| My Health Is | ||
| Are You An Au PAir Couple | No | |
| Email address | ||
| You are seeking employment in | ||
| Preferred country | ||
| With a family of which nationality | ||
| I prefer to work in | or | |
| Date you want to start work | ||
| Date you want to end work | ||
| What is the shortest time you want to stay? | ||
| What is the longest time you want to stay? | ||
| I would like to look after children aged | ||
| Would you be happy to look after disabled children | No | |
| Would you be happy to look after special needs children | No | |
| Would you accept a job in a single parent family | No | |
| Do you mind if the family is smoking | No | |
| Would you be happy to look after elderly people | No | |
| Would you be happy to do housework | No | |
| Would provide aletter from your doctor if asked | No | |
| Would you provide a letter from police register if asked | No | |
| Can you first aid | No | |
| Can you swim | No | |
| Why do you want to be an Au Pair? | ||
| Letter to the family | ||
