Registration For Mother's Help

First name:
Surname:
Gender:
Date of birth:
Place of birth:
Age:
Status:
Nationality:
Religion:
Practising?
Address:
Town/City
County:
Postcode:
Country:
Home phone:
Mobile:
Email address:
Emergency contact name:
Emergency contact number:
Parents address(if different):
Phone number:
Father's occupation:
Mother's occupation:
Bothers/s-Age:
Sister/s-Age:
Level of education:
Details of your present occupation:
How many years have you worked as an mother's help?
Do you hold a valid first aid certificate?
Please state first aid certificate expiry date:
Please indicate the type of position you are looking for:
Age groups you prefer to work with (please indicate):
Would you accept a single parent family?
If yes:
Do you have a driving license?
Clean license? If no, give details:
Do you own a car?
Do you have a valid passport?
Do you smoke?
Are you happy to work in a house with pets?
Can you cook?
Are you willing to assist with the following? cooking:
washing:
ironing:
light housework:
If yes, who for:
Do you have any allergies?
If yes, please give details:
Are you in a good health?
Any disabilities?
Are you taking any medication?
Are you vegetarian?
If yes, would you work with a non-vegetarian family?
Level of spoken English:
Do you speak any other foreign languages?
If yes, please give details:
Do you wish to attend language school?
What are your future plans?
Please describe your hobbies and interests:
Do you have any criminal convictions or Police cautions?
If yes, please give details:
Reference:

Apply Online - Au-Pair
Registration for Au-Pair
Registration for Mother's Help
Registration for Nanny
Registration for Housekeeper