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ABOUT YOU SECTION
PERSONAL DETAILS
First Name
Last Name
{First Name}
{Last Name}
Date of Birth
{date of birth}
Home Country
City of birth
Date of Birth
Date of Birth
Nationality
Date of Birth
Gender
Gender
Relationship status
Relationship status
Religion
Religion
Is religion actively important in your daily life?
Date of Birth
CONACT & DACUMENTS
Mobile
Date of Birth
Date of Birth
Full postal address
Date of Birth
Passport Number
Passport Number
Passport expiry date
Date of Birth
VISA & ENTRY STATUS
Visa appointment status *
Date of Birth
Visa appointment date
Date of Birth
How long are you looking for a new placement?
Date of Birth
Do you have a valid passport?
Date of Birth
QUICK FACTS
Do you smoke?
Date of Birth
Would you agree not to smoke inside the family home?
Date of Birth
Are you scared of or allergic to animals?
Date of Birth
Dietary preferences or restrictions
Date of Birth
Can you swim?
Can you swim?
Can you ride a bicycle?
Date of Birth
Driving licence?
Date of Birth
Since where
Date of Birth
Any health conditions or allergies?
Please describe
Date of Birth
Date of Birth
Do you have a medical certificate?
Date of Birth
Relatives in Germany?
Relatives in Germany?
YOUR BACKGROUND
YOUR FAIMLY
Mother's name
Relatives in Germany?
Mother's profession
Mother's phone
Relatives in Germany?
Relatives in Germany?
Father's name
Relatives in Germany?
Father's profession
Father's phone
Relatives in Germany?
Relatives in Germany?
Do you have siblings?
Relatives in Germany?
Sister
Brother
Relatives in Germany?
Relatives in Germany?
Ages of siblings
Relatives in Germany?
Do you smokeHave you regularly cared for your siblings?
Relatives in Germany?
EDUCATION & CAREER
Highest education level
Do yo
Field of study
Ages of siblings
Current or most recent job
Ages of siblings
What do you plan to do after your au pair year?
Ages of siblings
Tell us more about your future plans Luxury families value this
Ages of siblings
Are you open to staying and working in Germany after your au pair year?
Ages of siblings
PERSONALITY & HOBBIES
How would you describe yourself?
Field of study
Your hobbies
Field of study
Sports you enjoy
Field of study
Musical instrument?
Field of study
Which instrument?
Field of study
Travelled abroad before?
Field of study
Where?
Field of study
LANGUAGES
GERMAN LANGUAGE
Your German level
Travelled abroad before?
Official German certificate?
Travelled abroad before?
Certificate name & level
Travelled abroad before?
Where did you learn German?
Travelled abroad before?
Years of study
Hours / week
Travelled abroad before?
Travelled abroad before?
How important is it to become fluent?
Travelled abroad before?
Want to attend a German course in Germany?
Travelled abroad before?
OTHER LANGUAGES BONUS FOR ELITE FAMILIES
English level
Years of study
French — describe your level
Years of study
Spanish - describe your level
Years of study
Other languages you speak
Years of study
Language certificates (if any)
Years of study
CHILDREN & COOKING
EXPERIENCE WITH CHILDREN
Have you cared for children before?
English level
Describe your childcare experience
Describe your childcare experience
What have you done with children?
English level
Can you care for babies (under 2)?
English level
How many children are you willing to care for?
English level
Preferred age range of children
English level
Would you care for a child with special needs?
English level
Childcare or first aid certificate?
English level
Certificate name & issuer
English level
COOKING HIGHLY VALUED BY ELITE FAMILIES
Cooking experience level
English level
How did you learn to cook?
English level
Cuisines you can cook
English level
Name 5 dishes you cook well *
English level
English level
English level
English level
English level
Photos
CAPS TITLE
Your Video
CAPS TITLE
Documents & submit
Title
Uploaded
Cover letter/ Motivation letter
Cover letter/ Motivation letter
School /Qualification certificate
School /Qualification certificate
Childcare experience certificate
Childcare experience certificate
Medical certificate
Medical certificate
First aid training certificate
First aid training certificate
Language certificate
Language certificate
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