For more information call +00 44 (0)1273 203803
or email info@abacusaupairagency.co.uk

Information for Au Pairs

Looking for an Au Pair placement?

Please complete the form below, to the best of your knowledge, if you wish to become an Au Pair or a Mother's Help in the UK.

We will also require the following information from you:

'Dear family' letter
A minimum of 2 references - at least one should be childcare
A medical certificate
Photographs (passport sized and any others with friends, family, children, pets etc)
Police record check form (if available)

You may email/fax or post this to:
Tel/Fax: +00 44 (0)1273 203803
Email: info@abacusaupairagency.co.uk

Address:
Abacus Au Pair Agency
2 Byron Terrace
Byron Street
Hove
East Sussex
BN3 5AY
United Kingdom

Registration Form

Personal Details

Surname*:

Forename(s)*:

Address*:

Telephone no*:
Mobile no:

Fax no:
Email address*:

Skype account name (if applicable):

Nationality:
Place of birth:

Age:

About you and your placement

When do you wish to come to the UK?

Duration of your stay:

Where would you like to stay?

England

Scotland

Ireland

Wales

Would you prefer to stay in a...

City

Town

Village

Countryside

How long have you studied English?

Is your spoken English

Good

Fair

Basic

Do you have a preference for a particular area or are you happy to accept all areas?

Would you consider any other areas?

Yes

Do you accept a single parent family?

Yes

Single parent mother only

Single parent father only

Do you accept a family of different race/faith to your own?

How many children do you prefer to take care of?

What ages of children do you prefer to take care of?

Please give details of your studies:

Are you in good health?

Yes

Are you a smoker?

Yes

If so, are you willing to refrain from smoking in the home and around the children?

Yes

Do you have a criminal record?

Yes

Household Duties

Have you had experience with the following:

Do you help out around the home?

Yes

Childcare Experience

Have you had experience of the following:

Babies

Toddlers

Infants

School aged

Please give details of experience, including any ages of the children and when you looked after them and for how long etc.

Profession of Father:

Profession of Mother:

Do you have any brothers or sisters? Please give details:

Do you hold a full driving licence?

Yes

When did you pass your driving test?

Would you be prepared to drive in the UK?

Yes

Please give details of your hobbies and interests:

Please check the information you have given, then click on the button below to submit the application.

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