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Host Family
Au Pair
Demi Pair
Usa Pair Program
Fees & Costs
Contact Us

Au Pair Online Registration

Home > Au Pair Online Registration

Step 1 of 6

16%

Education
Highest level of education?*
If other, please specify
Please list any other qualitfications you have

CHILDCARE EXPERIENCE AND REFEREE DETAILS
Experience
Please describe your chidcare experince*
How long have you been working with/looking after children?*
Age group of children you would prefer to work with
- 0-2
- 3-5
- 6-10
- 11+
Referees
Please provide 2 referees of who we can contact to discuss your childcare experience (eg. family of whom you have babysat, childcare centre you have worked etc)
Please also provide a written reference from these referees at the bottom of this application (as an attachment)
Note: no family members are to be your referees
Referee No. 1
Name
First Last
Telephone
Email
Details of your relationship to them
(eg. previous employer, family you babysat)
Referee No. 2
Name
First Last
Telephone
Email
Details of your relationship to them
(eg. previous employer, family you babysat)

CERTIFICATES, LICENCES, VISA AND PASSPORT INFORMATION
Passport
Do you have a current passport?
- Yes
- No
Visa
You will need an Australian Working Holiday Visa (subclass 417) or a Work and Holiday Visa (subclass 462)
Do you have an Australian Working Holiday visa?
- Yes
- No
If no, do you require Au Pair Connections Australia to help obtain your visa?
- Yes
- No
Driving
Do you hold a Driver's Licence in your country of origin?
- Yes
- No
If no, please go to "First Aid" section
If yes, how long have you been driving for?
Do you drive a manual or automatic car?
- Manual
- Automatic
- Both
Have you ever had an accident while driving?
- Yes
- No
If yes, please provde details
Are you prepared to drive in Australia?
- Yes
- No
If yes, do you have an International Driving Licence?
- Yes
- No
If yes then please state the expiry date
If no, do you plan on obtaining an International Driving Licence?
- Yes
- No
First Aid
Au Pair Connections Australia encourages all applicants to obtain a First Aid Certificate before arriving in Australia (please attach your certificate at the end of the application)
Do you have a current First Aid Certificate?
- Yes
- No
If no, do you plan on obtaning one?
- Yes
- No
Medical Certificate
Au Pair Connections Australia requires all applicants to provide a Medical Certificate from their doctor (as does visa requirements)
Do you have a current Medical Certificate/Report from your doctor for visa purposes?
- Yes
- No
If no, do you plan on obtaining one?
- Yes
- No
Police Clearance
Au Pair Connections Australia requires all applicants to provide a copy of a current Police Clearance (please attach your clearance at the end of the application)
Do you have a current Police Clearance?
- Yes
- No
Have you ever been convicted of a criminal offence?
- Yes
- No
If yes, please specify

HOST FAMILY DETAILS
Family Information
Would you be happy to stay with a single parent family?
- Yes
- No
What date would you like to start with your host family?

DD
MM
YYYY
Would you be happy to stay with a family of another religion?
- Yes
- No
Would you be happy to stay with a family of a different ethic origin or race?
- Yes
- No
Household Duties
Please tick which household duties you have had experience with and are prepared to help
- Cooking/baking
- Cleaning kitchen
- Cleaning bathroom
- Vacuuming/mopping
- Making beds
- Laundry
- Ironing
- Dusting
- Babysitting
- Care of pets/walking dog etc
Where did you hear about Au Pair Connections Australia
If other, please specify

Attachments
Please provide us with the following:
Introduction Letter for Host Family (telling them about you, your family and your life)
2 written references from your referees mentioned above
Drop files here or
Police Clearance
Drop files here or
Medical Report from your Doctor
Drop files here or
First Aid Certificate
Drop files here or
A copy of your Passport (main page and any visa obtained for Australia)
Drop files here or
A copy of your Drivers Licence
Drop files here or
Attach a few photos of yourself with your family and friends etc
Drop files here or
Do you agree to the above Terms & Conditions?*
- Yes
- No
Terms & Conditions for your Au Pair Application can be found at: https://www.aupairconnections.com.au/terms-conditions-au-pair/
Phone
This field is for validation purposes and should be left unchanged.

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0418 472 343

info@aupairconnections.com.au

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