old-ap-reg

[cs_content][cs_section parallax=”false” style=”margin: 0px;padding: 45px 0px;”][cs_row inner_container=”true” marginless_columns=”false” style=”margin: 0px auto;padding: 0px;”][cs_column fade=”false” fade_animation=”in” fade_animation_offset=”45px” fade_duration=”750″ type=”1/4″ style=”padding: 0px;”] [/cs_column][cs_column fade=”false” fade_animation=”in” fade_animation_offset=”45px” fade_duration=”750″ type=”1/2″ style=”padding: 0px;”][x_custom_headline level=”h2″ looks_like=”h3″ accent=”false”]Au Pair Registration[/x_custom_headline][cs_text]

Please only register if you are already in the UK

Gender:

Male

Female

Live In/Out?:

Live In

Live Out

Full Name:*

First

Last

Date of Birth:

01020304050607080910111213141516171819202122232425262728293031

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JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

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200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970

day

month

year

Address in the UK:

E-mail:*

Mobile Phone:*

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Nationality:

Other Languages:

Qualifications:

What are you presently doing?:

Level of English:

Select BeginnerAverageGoodVery Good

Have you been an au pair before?:

Yes

No

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Do you smoke?:

Yes

No

Are you ok with pets?:

Yes

No

Do you drive?:

Yes

No

Can you drive in the UK?:

Yes

No

Child care experience?:

When do you want to start:*

How long do you want to stay?:

Select 1 year +9 month - 1 year6 - 9 months3-6 months1-3 months

SubmitReset

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