FAMILY REGISTER HERE.

The information that you provide in your application will be seen by the Agency and a family. This is a very important stage, which will enable us to find you a matching family. Honest answers will allow us to find you your perfect match.

Name*

Surname*

Address*

Town*

Postcode

Country*

Nationality*

Date of Birth*

Gender*
 Female Male

Email*

Mobile Number*

Skype ID

Have You Ever Been an Au Pair Before?*
 Yes No

When You Would Like to Start and Finish Your Au Pair Placement*?

What are Your Childcare or Other Relevant experiences?*

Are You Willing to Help With:*
 Childcare Accompany Elderly Basic Cooking Washing/Ironing Light House Work

What type of Placement are you Prepared to Take?* Please check Type of Placements pages.
 Classic Au Pair (>25 or 35 hours/week) Au Pair Tutor (>35 hours/week) Mother's Help (>50 hours/week) Au Pair Couple Elderly Companion

Do You Have a Driving License?*
 Yes No

How Long Have You Been Driving?

Do You Smoke?
 Yes No

What did You Study after Secondary School or what are your qualifications?

What are your Career Plans?

How Good is Your English?* Please check http://www.londonschool.com/level-scale/.
 Elementary Pre-Intermediate Intermediate Upper-Intermediate Advanced

What are your Hobbies?

Do You Have Any Medical Requirements That a Family Should be Aware Of?*
 Yes No

How Did You Find Out About the Agency Supreme Au Pair?*

Do You have Teaching Qualifications?
 Yes No

If you have teaching qualifications, what subject is it from?

What Teaching Experiences Do You Have?

I confirm that I have read the Terms and Conditions*

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