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Au pair in Nederland
Hoe word ik een au pair?
Wat is een au pair?
Inschrijven als au pair
Inschrijven als au pair
au pair application form
I am applying to be
Selecteer
Au pair
Au pair +
Summer Au pair
In which country do you wish to be placed?
Albania
Algeria
Andorra
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bangladesh
Belarus
Belgium
Bosnia-Herzegovina
Botswana
Brazil
Bulgaria
Cameroon
Canada
Canary Islands
Chile
China
Colombia
Congo - Democratic Republic
Congo - Republic of
Costa Rica
Croatia
Cyprus
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Estonia
Finland
France
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Guatemala
Guyana
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kenya
Kyrgyzstan
Latvia
Lebanon
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Malta
Mauritius
Mexico
Moldova
Monaco
Mongolia
Morocco
Namibia
Nepal
Netherlands Antilles
Netherlands
New Zealand
Nigeria
Norway
Pakistan
Panama
Paraguay
Peru
Phillipines
Poland
Portugal
Puerto Rico
Romania
Russia
Salvadore
San Marino
Senegal
Seychelles
Singapore
Slovak Republics
Slovenia
South Africa
South Korea
Spain
Sri Lanka
Swaziland
Sweden
Switzerland
Taiwan
Tanzania
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
U.K.
U.S.A.
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Venezuela
Vietnam
Yugoslavia
Zambia
Zimbabwe
Which city/region
When could you start?
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Januari
Februari
March
April
May
June
July
August
September
October
November
December
2022
2023
2024
2025
Until?
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26
27
28
29
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31
Januari
Februari
March
April
May
June
July
August
September
October
November
December
2022
2023
2024
2025
Personal information
First name
Name
Gender
Selecteer
Male
Female
Postal Address
Postal code / City
Your Country of Residence
Selecteer
Albania
Algeria
Andorra
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bangladesh
Belarus
Belgium
Bosnia-Herzegovina
Botswana
Brazil
Bulgaria
Cameroon
Canada
Canary Islands
Chile
China
Colombia
Congo - Democratic Republic
Congo - Republic of
Costa Rica
Croatia
Cyprus
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Estonia
Finland
France
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Guatemala
Guyana
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kenya
Kyrgyzstan
Latvia
Lebanon
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Malta
Mauritius
Mexico
Moldova
Monaco
Mongolia
Morocco
Namibia
Nepal
Netherlands Antilles
Netherlands
New Zealand
Nigeria
Norway
Pakistan
Panama
Paraguay
Peru
Phillipines
Poland
Portugal
Puerto Rico
Romania
Russia
Salvadore
San Marino
Senegal
Seychelles
Singapore
Slovak Republics
Slovenia
South Africa
South Korea
Spain
Sri Lanka
Swaziland
Sweden
Switzerland
Taiwan
Tanzania
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
U.K.
U.S.A.
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Venezuela
Vietnam
Yugoslavia
Zambia
Zimbabwe
Contact Telephone Number
Contact Fax Number
E-mail
Date of birth
/
/
Leeftijd
Place and country of birth
Your Nationality / Passport(s)
Albania
Algeria
Andorra
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bangladesh
Belarus
Belgium
Bosnia-Herzegovina
Botswana
Brazil
Bulgaria
Cameroon
Canada
Canary Islands
Chile
China
Colombia
Congo - Democratic Republic
Congo - Republic of
Costa Rica
Croatia
Cyprus
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Estonia
Finland
France
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Guatemala
Guyana
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kenya
Kyrgyzstan
Latvia
Lebanon
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Malta
Mauritius
Mexico
Moldova
Monaco
Mongolia
Morocco
Namibia
Nepal
Netherlands Antilles
Netherlands
New Zealand
Nigeria
Norway
Pakistan
Panama
Paraguay
Peru
Phillipines
Poland
Portugal
Puerto Rico
Romania
Russia
Salvadore
San Marino
Senegal
Seychelles
Singapore
Slovak Republics
Slovenia
South Africa
South Korea
Spain
Sri Lanka
Swaziland
Sweden
Switzerland
Taiwan
Tanzania
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
U.K.
U.S.A.
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Venezuela
Vietnam
Yugoslavia
Zambia
Zimbabwe
Are you married
Yes
No
Religion
Selecteer
Adventist
African Methodist Episcopal-Zion
Al Qamishli
Alawite
Albanian Orthodox
Anglican
Animist
Armenian Apostolic
Armenian Orthodox
Atheist
Baha'i
Baptist
Brethren
Buddhism
Bulgarian Orthodox
Calvinist
Chondogyo
Christian Orthodox
Church of Christ
Church of Scientology
Confucianism
Congregationalist
Coptic Christian
Daoism
Druze
Eastern Orthodox
Episcopalian
Evangelical Alliance
Evangelical Lutheran
Evangelical Protestant
Evangelist Church
Greek Orthodox
Gregorian-Armenian
Hinduism
Islamic
Jehovah's Witness
Jewish
Kimbanguist
Latter-Day Saints
Lutheran
Mennonite
Methodist
Moravian
Mormon
Muslim
New Apostolic
No Religion
Non-denominational
Pagan Practices
Parsi
Pentecostal
Presbyterian
Protestant
Rastafarian
Roman Catholic
Romanian Orthodox
Russian Orthodox
Seventh Day Adventist
Seventh Day Baptist
Shi'a
Sikh
Taoist
United Free Church
Word of Life
Zoroastrian
Education
Do you want to follow a language course?
Yes
No
Extra information
Have you lived away from home before?
Yes
No
Have you worked as an au pair before?
Yes
No
If so, in which country?
Selecteer
Albania
Algeria
Andorra
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bangladesh
Belarus
Belgium
Bosnia-Herzegovina
Botswana
Brazil
Bulgaria
Cameroon
Canada
Canary Islands
Chile
China
Colombia
Congo - Democratic Republic
Congo - Republic of
Costa Rica
Croatia
Cyprus
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Estonia
Finland
France
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Guatemala
Guyana
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kenya
Kyrgyzstan
Latvia
Lebanon
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Malta
Mauritius
Mexico
Moldova
Monaco
Mongolia
Morocco
Namibia
Nepal
Netherlands Antilles
Netherlands
New Zealand
Nigeria
Norway
Pakistan
Panama
Paraguay
Peru
Phillipines
Poland
Portugal
Puerto Rico
Romania
Russia
Salvadore
San Marino
Senegal
Seychelles
Singapore
Slovak Republics
Slovenia
South Africa
South Korea
Spain
Sri Lanka
Swaziland
Sweden
Switzerland
Taiwan
Tanzania
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
U.K.
U.S.A.
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Venezuela
Vietnam
Yugoslavia
Zambia
Zimbabwe
Do you have a valid passport?
Yes
No
Passport number
Are you willing to accept a family with an infant?
Yes
No
What age group of children are you willing to look after?
Selecteer
Looking after children from 0 to 5 years of age
Looking after children from 6 to 10 years of age
Looking after children older than 10 years of age
Are you willing to work for a family of a different religion?
Yes
No
Are you willing to work for a single parent?
Yes
Only a single mother
Only a single father
No
Are you willing to cook a simple meals?
Yes
No
Are you willing to do the ironing?
Yes
No
Where would you prefer to work?
No preferences
City Centre
Suburb
Village
Countryside
How much expericens do you have with
Waking children and getting them dressed
None
Some
Extensive
Putting children to bed
None
Some
Extensive
Looking after children from 0 to 5 years of age
None
Some
Extensive
Looking after children from 6 to 10 years of age
None
Some
Extensive
Looking after children older than 10 years of age
None
Some
Extensive
Keeping children occupied
None
Some
Extensive
Taking children out(to swim, play)
None
Some
Extensive
Making beds
None
Some
Extensive
Washing up
None
Some
Extensive
Cooking simple meals
None
Some
Extensive
Doing the grocery shopping
None
Some
Extensive
Performing light household cleaning
None
Some
Extensive
Helping out in the garden
None
Some
Extensive
Washing/ironing clothes
None
Some
Extensive
Are you willing to look after pets?
Yes
No
Personal habbits
Do you have a driving licence?
Yes
No
Are you willing to drive in your host country?
Yes
No
Can you swim?
Yes
No
Are you a vegetarian?
Yes
No
Do you have any allergies?
Yes
No
Do you smoke? If so, please indicate how many cigarettes a day.
No
Yes, less then 5 per day
Yes, between 5 and 10 per day
Yes, between 10 and 15 per day
Yes, between 15 and 20 per day
Yes, more then 20 por day
Are you willing not to smoke or to smoke outside?
Yes
No
Weight
Height
languages
How many years did you study English at school?
How would you rate your command of English?
Selecteer
Good
Average
Fair
Poor
Other languages
German
Selecteer
Good
Average
Fair
Poor
French
Selecteer
Good
Average
Fair
Poor
Other languages
Hobbies and interests
Watching televison
Yes
No
Going to the cinema
Yes
No
Going to the theatre
Yes
No
Art
Yes
No
Pop music
Yes
No
Classical music
Yes
No
Traveling
Yes
No
Reading
Yes
No
Foreign languages
Yes
No
Tennis
Yes
No
Sailing
Yes
No
Swimming
Yes
No
Dancing
Yes
No
Conversation
Yes
No
Going to parties/discos
Yes
No
Horse riding
Yes
No
Pets/animals
Yes
No
Walking
Yes
No
Other hobbies and interests (please indicate)
Parents´ address
Name
Postal Address
Postal code / City
Your Country of Residence
Selecteer
Albania
Algeria
Andorra
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bangladesh
Belarus
Belgium
Bosnia-Herzegovina
Botswana
Brazil
Bulgaria
Cameroon
Canada
Canary Islands
Chile
China
Colombia
Congo - Democratic Republic
Congo - Republic of
Costa Rica
Croatia
Cyprus
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Estonia
Finland
France
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Guatemala
Guyana
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kenya
Kyrgyzstan
Latvia
Lebanon
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Malta
Mauritius
Mexico
Moldova
Monaco
Mongolia
Morocco
Namibia
Nepal
Netherlands Antilles
Netherlands
New Zealand
Nigeria
Norway
Pakistan
Panama
Paraguay
Peru
Phillipines
Poland
Portugal
Puerto Rico
Romania
Russia
Salvadore
San Marino
Senegal
Seychelles
Singapore
Slovak Republics
Slovenia
South Africa
South Korea
Spain
Sri Lanka
Swaziland
Sweden
Switzerland
Taiwan
Tanzania
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
U.K.
U.S.A.
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Venezuela
Vietnam
Yugoslavia
Zambia
Zimbabwe
Father´s occupation
Mother´s occupation
Ages of siblings
Special remarks or issues we should take into consideration in placing you
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