Taikos pr. 141, LT-94284, Klaipeda
Tel.
Mob. +370 685 58698
litaupa@gmail.com
For AuPair applicants
Complete registration form and we will help to find suitable AuPair family!
First name: | |
Surname: | |
Address: | |
Date of birth: | |
Telephone: | |
E-mail: | |
Father’s occupation: | |
Mother’s occupation: | |
Number and Age of your | |
Hight: | |
Weight: | |
Education: | |
Work experience: | |
Do you have experience with kids? | |
What age range do you prefer to | |
What work are you prepared to do? | |
What language knowledge do you have? | |
Are you in good health, if not please describe: | |
Do you smoke? | |
If you smoke, are you willing to refrain from smoking in the host family’s house or in the presence of children? | |
Do you like animals? What animals? | |
Are you allergic to animals? | |
Can you swim? | |
Do you have knowledge of first | |
Describe your hobbies and interests? | |
Do you have a driving licence? When did you receive it? | |
Have you ever lived away from home? | |
Have you ever been an AuPair before? | |
If yes, how long and where? | |
Prefered country, you would like to work: | |
Earliest arrival date: | |
Latest arrival date: | |
Do you have any special requests? | |
Why do you want to be an AuPair? | |
Signed | |
* — necessary to fill | |