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Au Pair Accommodation
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Au Pair
Au Pair in Australia - Gold Coast
Au Pair Accommodation Registration
Au Pair Accommodation Registration
Name:
Email:
Gender:
Male
Female
Nationality:
Street Address:
Suburb / City:
Country:
Postcode (ZIP code):
Phone number:
Fax number:
Have you worked as an au pair before/ housekeeper or nanny?
Yes
No
Have you had experience with house work or minding children
Yes
No
Do you have a driver's license?
Yes
No
Do you smoke?
Yes
No
How old are you?
You speak these languages fluently:
You have basic knowledge of:
Which program are you interested in? (You can choose more than one)
Au Pair
Demi Pair (Au Pair and Language Course)
Housekeeper
Nanny
Which package are you interested in?
Dolphin Package
Mermaid Package
Demi Pair (Au Pair + Language Course)
In which country are you currently living?
Do you have a particular area that you wish to live in?
Do you have a passport?
Yes
No
Do you have a Working Holiday visa for Australia?
Yes
No
Do you have a Student Visa for Australia?
YES
No
Do you have the date for your arrival?
When you would like to start your accommodation?
Would you like to stay longer than 3 months?
Yes
No
How did you hear about Au Pair House Accommodation?
Agent AA Education
Additional Comments Please mention any special requirement you may have for your family, so we can try to match perfectly with one of our families.
I accept that some of the information provided may be passed to the prospective family and will be on file in our database only for our au pair business. It will not be used for any other purpose.
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