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Au Pair Application Form

Please fill in the form on this page or, if you prefer, download it from here and sent it to me.

Personal Information

General Questions

Yes No

0-2 3-5 6-9 10+

Which duties are you prepared to do?

Education & Qualifications

Basic Fair Good

Hobbies & Interests

I declare that all the details given by me on this application form are correct.