Please note that submitting this form does not create any obligation whatsoever towards our agency!
Bitte beachte, dass du durch dieses Anmeldeformular noch keinerlei Verpflichtungen gegenüber unserer Agentur eingehst! |
Please enter all your information in English. |
| About you: |
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| Salutation: |
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| Last name(s):* |
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| First name:* |
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| Street: |
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| ZIP/Postal code: |
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| City: |
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| Country: |
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| Phone:* |
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| Mobile/Cell phone: |
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| E-mail:* |
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| Nationality: |
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| Place of birth: |
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| Country: |
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| Date of birth: (DD.MM.YYYY) |
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| Travel details: |
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| Where do you want to go?* |
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| Do you have a current, valid passport? |
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| Have you applied for a visa? |
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| If yes, which type of visa? |
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| When can you start?* |
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| How long can you stay?* |
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| Host family & surroundings |
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| Preferred position with host family: |
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| Children’s ages: |
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| Number of children: |
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| Can you cook? |
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| Will you cook for children? |
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| Will you cook meat for children? |
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| Will you do light housework? |
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| Employment history |
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| Please describe your experience in child care and list your formal child care qualifications, if any: |
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| How old were the children you cared for? |
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| What is your most recent occupation? |
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| Detail your employment history: |
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| Do you have written references? |
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| What are your hobbies and interests? |
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| Language skills |
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| How good is your English? |
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| What other languages do you speak? |
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| Are you planning to attend language classes? |
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| Driving |
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| Do you hold a valid driving licence? |
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| Do you hold a valid international driving licence? |
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| Are you able to drive a manual transmission? |
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| Are you able to drive an automatic transmission? |
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| Have you had any accidents? |
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| If yes, list the date of all accidents, describe what happened, and give details of any disqualification: |
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| Personal information |
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| What is your religion? Please describe any religious needs: |
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| Do you suffer from any illnesses or allergies? |
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| If yes, please elaborate: |
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| Do you use any medication regularly? |
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| If yes, please elaborate: |
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| Do you follow any special diet? |
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| If yes, please elaborate: |
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| Do you smoke? |
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| Do you drink alcohol? |
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| Please indicate if you have any of the following: |
Multiple earrings
Nose stud
Nose ring
Tongue stud
Eyebrow stud
Visible tattoo
Dreadlocks
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| Application |
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| Preferred contact method: |
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| Do you consent to your application profile and photograph being forwarded to prospective host families? |
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