Au Pair Application

NAME/CONTACT INFORMATION

First Name:

Middle Name:

Last Name:

Email Address:

Phone Number:

BASIC INFORMATION

Country of Origin:

Country of Current Residence:

Birth Date:

Religion:

I can start my program between

and

I am working with an agency outside of the United States

If yes, the name of my agency is:

Preferred program type:

VIDEO

Please enter a YouTube link to your application video here.

PHOTOS

Please attach only three photos of yourself that you would like to be included in your profile to your email when you submit your application to abacusaupairs@gmail.com

INTERESTS AND HOBBIES

Describe your hobbies, talents or other interests:

Describe your best qualities:

EDUCATION INFORMATION

Highest level of education:

Name of last school:

Educational and professional training:

Additional languages spoken:

CHILD CARE EXPERIENCE

Age Group

Hours of Experience

0-3 months old

3 months-2 years old

2-5 years old

5-10 years old

10+ years old

Do you have any experience caring for children with special needs?

What do you feel is the most important aspect of a parent/caregiver relationship?

What was the worst part of your previous caregiver relationship?

Please describe your previous child care experiences.

ABOUT YOU

I have _ siblings
Describe your family

Describe your last holiday

What are you reading?

Why are you interested in being an au pair?

What cultural aspects of your family and community will you be able to share with an American family?

Do you know how to swim?

Do you smoke?

Do you have a driver’s license?

When did you receive your driver’s license?

SUPPORTING DOCUMENTS

Letter to Host Family

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