AU PAIR'S  DETAILS
Applicant Registration

Please complete this form if you are an Au pair, Au pair plus, Mothers Help or Nanny applicant seeking a family in any European country(s). The information will assist Konnex International Limited to match your requirements to families that are most suitable for you. If you need any information, please visit our applicant information page.

ABOUT YOU



Surname First Name
Address
Town Country
Telephone Alt. tel.
Fax E-mail
Nationality Language
Sex Age
Education Religion
       
Photo: GIF/JPG, 110 x 150 px (25 kB)!

ABOUT THE FAMILY

Seeking placement in
(to enter multiple choices hold ctrl)

With a family of which nationality
(to enter multiple choices hold ctrl)
From when will you be available to take up placement?
For how long do you intend to work as an Aupair? (Min)
On a scale of 1 to 3 (1 being fluent), how good is
your language skills for your selected countries?

Do you have a driving licence?
And are you willing to drive?		 Yes No

Do you smoke? Yes No

Do you prefer to work in the capital
a big city		 a small town
 in the country
Do you have specific cities of choice
Are you willing to look after children of all ages? Yes No
Your Preferred child age group

Do you have any special dietary requirement?
Do you suffer from any allergies?
Do you have any medical condition(s) or medication? Yes No
If yes, please give details
Are you willing to do some housework?
(This is necessary for most families)		 Yes No

Have you ever worked as an Au pair before? Yes No
If yes, details and/or Describe your childcare experience
Please enter the details of your referees:
Describe your immediate family,(names, ages and profession).
Describe yourself and your hobbies/interest
Describe your plans for the future (while you are au pairing and after)
(In the language of your first chosen country, if not then in English).
Please describe, why you want to work as an Au pair.

Please read the terms and conditions.