Larah Au-Pairs

Telephone: 01932 341 704

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APPLICATION FORM


Au Pair Mother's Help Nanny
 
 
Y N  
Y N How Long Have You Lived Abroad Before?           
   
Y N How Many?           
Y N
Y N How Many Years Have You Driven For?           
Y N  
Y N  
       
   
   
       
   
       
Education Exams Passed:
       
 
Fluent Good Basic Slight
Y N  
       
Hobbies And Interests:
       
 
       
Y N  
Y N  
Y N  
       
Do You Have Any Medical Problems, Diets Or Allergies?
Y N  
       
General State Of Health:
       
Y N If Yes, Specify:           
Y N  
Y N  
Y N  
       
Are You Willing To Assist With:
       
       
 
       
Y N  
Y N  
Y N  
Y N  
Y N  
Y N  
Do You Feel Confident Enough To Be In Sole Charge Of The Children? Y N
Is There Any Age Group Of Children You Do Not Wish To Help With?
What Is The Maximum Number Of Children You Wish To Care For?
Y N  
Y N  
Y N  
Y N  
       
What Are Your Reasons For Coming To England?  
   
Any Other Information Relevant To This Application?  
       
I Declare That All The Information Provided Is Accurate:  
       

 

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