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What is an Au Pair?
What is a Demi Pair?
Benefits of Hosting an Au Pair / Demi Pair
The Process
Register Online
Terms & Conditions
Au Pair
Benefits of Being an Au Pair
Your Duties
The Process
Register Online
Terms & Conditions
Demi Pair
Demi Pair Programs
Perth International College of English
Language Links
Register Online
Terms & Conditions: Demi Pair
Usa Pair Program
USA Program Details
Register Online
Terms & Conditions
Fees & Costs
Contact Us
Home
Host Family
What is an Au Pair?
What is a Demi Pair?
Benefits of Hosting an Au Pair / Demi Pair
The Process
Register Online
Terms & Conditions
Au Pair
Benefits of Being an Au Pair
Your Duties
The Process
Register Online
Terms & Conditions
Demi Pair
Demi Pair Programs
Perth International College of English
Language Links
Register Online
Terms & Conditions: Demi Pair
Usa Pair Program
USA Program Details
Register Online
Terms & Conditions
Fees & Costs
Contact Us
Au Pair Online Registration
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Au Pair Online Registration
Step 1 of 6
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GENERAL
First Name
*
Last Name
*
Address
*
Address (Line 2)
City
Post Code
Country
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Nationality
*
Afghans
Albanians
Algerians
Americans
Andorrans
Angolans
Argentines
Armenians
Aromanians
Arubans
Australians
Austrians
Azeris
Bahamians
Bahrainis
Bangladeshis
Barbadians
Belarusians
Belgians
Belizeans
Bermudians
Boers
Bosniaks
Brazilians
Bretons
British
British Virgin Islanders
Bulgarians
Burmeses
Macedonian Bulgarians
Burkinabès
Burundians
Cambodians
Cameroonians
Canadians
Catalans
Cape Verdeans
Chadians
Chileans
Chinese
Colombians
Comorians
Congolese
Croatians
Cubans
Cypriots
Turkish Cypriots
Czechs
Danes
Dominicans (Republic)
Dominicans (Commonwealth)
Dutch
East Timorese
Ecuadorians
Egyptians
Emiratis
English
Eritreans
Estonians
Ethiopians
Faroese
Finns
Finnish Swedish
Fijians
Filipinos
French citizens
Georgians
Germans
Baltic Germans
Ghanaians
Gibraltar
Greeks
Greek Macedonians
Grenadians
Guatemalans
Guianese (French)
Guineans
Guinea-Bissau nationals
Guyanese
Haitians
Hondurans
Hong Kong
Hungarians
Icelanders
Indians
Indonesians
Iranians (Persians)
Arabs
Irish
Israelis
Italians
Ivoirians
Jamaicans
Japanese
Jordanians
Kazakhs
Kenyans
Koreans
Kosovo Albanians
Kurds
Kuwaitis
Lao
Latvians
Lebanese
Liberians
Libyans
Liechtensteiners
Lithuanians
Luxembourgers
Macedonians
Malagasy
Malaysians
Malawians
Maldivians
Malians
Maltese
Manx
Mauritians
Mexicans
Moldovans
Moroccans
Mongolians
Montenegrins
Namibians
Nepalese
New Zealanders
Nicaraguans
Nigeriens
Nigerians
Norwegians
Pakistanis
Palauans
Palestinians
Panamanians
Papua New Guineans
Paraguayans
Peruvians
Poles
Portuguese
Puerto Ricans
Quebecers
Réunionnais
Romanians
Russians
Baltic Russians
Rwandans
Salvadorans
São Tomé and Príncipe
Saudis
Scots
Senegalese
Serbs
Sierra Leoneans
Singaporeans
Slovaks
Slovenes
Somalis
South Africans
Spaniards
Sri Lankans
St Lucians
Sudanese
Surinamese
Swedes
Swiss
Syrians
Taiwanese
Tanzanians
Thais
Tibetans
Tobagonians
Trinidadians
Tunisians
Turks
Tuvaluans
Ugandans
Ukrainians
Uruguayans
Uzbeks
Vanuatuans
Venezuelans
Vietnamese
Welsh
Yemenis
Zambians
Zimbabweans
Telephone
*
Fax
Email
*
Skype Name
Sex
*
Male
Female
Date of Birth
*
DD
MM
YYYY
Religion
Do you have any brothers/sisters?
*
Yes
No
If yes, what are their ages?
Do you still live at home with your parents?
*
Yes
No
Have you ever lived away from home?
*
Yes
No
If yes, please provide details
Do you have any allergies?
*
Yes
No
If yes, please specifiy
Do you have any special dietary requirements?
*
Yes
No
If yes, please provide details
What is your current occupation?
Do you smoke?
*
Yes
No
Can you swim?
*
Yes
No
Please rate your English
*
Basic
Intermediate
Excellent
How long have you been speaking English for?
*
Do you speak any other language?
*
Yes
No
If yes, please specifiy
Education
Highest level of education?
*
High School
College
University
Other
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
Agent
Website
Social media
Friend or relative
Language school
Other
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.