Application Form For A Au Pair

Are you looking to become an Au Pair? Please fill in our online form.

Your Name (required)

Your Address (required)

Your County (required)

Your Daytime Phone Number (required)

Your Evening Phone Number (required)

Your Mobile Phone Number

Your Email (required)

Skype id

Date Of Birth:





Do You Have A Special Diet?:

Do You Have A Criminal Record?:

When Do You Want To Come To The Uk?:

Length Of Stay Required?:

Requested Return Date?:

Would You Prefer A Placement With A Family Living In:

This is only a preference, it is not always possible to place everyone where they want to go.)

Do You Smoke?:

How Many?:

Do You Drive?:

How Long Have You Been Driving?:

Will You Accept A Placement With:

A Family With A Different Nationality/Religion:

A Single Parent:

Have You Looked After Children Before:

What Age Children Do You Prefer/Have Experience Of?:

How Many Children Do You Want To Look After?:

Have You Any Brothers Or Sisters?:

As An Au Pair You Will Be Asked/Expected To Help With The Running Of the Home. Are You Perpared To Help With:

Basic Cooking?:

Light House Work?:


How Many Years Have You Studied English?:

How Good Is Your English?:

Do You Want To Go To Language School In The UK?:

Are You At University?:

Do You Plan To Go To University?:

What Are You Studying?:

What Are Your career Plans?:

What Is Your Father's Occupation?:

What Is Your Mother's Occupation?:

What Are Your Hobbies?:

Do You Like Animals?:

Do You Have Allergies?:

Have You Ever Been An Au Pair Before?:

If Yes, Give Details:



Tel Number:

Where Did You Hear About Richmond & Twickenham?:

I have received, read and agree to your Accounts and Business terms.

I give consent for Au Pairs Nationwide (Richmond & Twickenham) to process, collect and store my data from this form in a secure and protected manner which is GDPR compliant. I understand that I have the right to withdraw it any time.

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