Please note that submitting this form does not create any obligation whatsoever towards our agency!
Bitte beachte, dass du durch dieses Anmeldeformular noch keinerlei Verpflichtungen gegenüber unserer Agentur eingehst! |
Please enter all your information in English. |
| About you: |
|---|
| Salutation: | |
| Last name(s):* | |
| First name:* | |
| Street: | |
| ZIP/Postal code: | |
| City: | |
| Country: | |
| Phone:* | |
| Mobile/Cell phone: | |
| E-mail:* | |
| Nationality: | |
| Place of birth: |
|---|
| Country: | |
| Date of birth: (DD.MM.YYYY) | |
| Travel details: |
|---|
| Where do you want to go?* | |
| Do you have a current, valid passport? | |
| Have you applied for a visa? | |
| If yes, which type of visa? | |
| When can you start?* | |
| How long can you stay?* | |
| Host family & surroundings |
|---|
| Preferred position with host family: | |
| Children’s ages: | |
| Number of children: | |
| Can you cook? | |
| Will you cook for children? | |
| Will you cook meat for children? | |
| Will you do light housework? | |
| Employment history |
|---|
| Please describe your experience in child care and list your formal child care qualifications, if any: | |
| How old were the children you cared for? | |
| What is your most recent occupation? | |
| Detail your employment history: | |
| Do you have written references? | |
| What are your hobbies and interests? | |
| Language skills |
|---|
| How good is your English? | |
| What other languages do you speak? | |
| Are you planning to attend language classes? | |
| Driving |
|---|
| Do you hold a valid driving licence? | |
| Do you hold a valid international driving licence? | |
| Are you able to drive a manual transmission? | |
| Are you able to drive an automatic transmission? | |
| Have you had any accidents? | |
| If yes, list the date of all accidents, describe what happened, and give details of any disqualification: | |
| Personal information |
|---|
| What is your religion? Please describe any religious needs: | |
| Do you suffer from any illnesses or allergies? | |
| If yes, please elaborate: | |
| Do you use any medication regularly? | |
| If yes, please elaborate: | |
| Do you follow any special diet? | |
| If yes, please elaborate: | |
| Do you smoke? | |
| Do you drink alcohol? | |
| Please indicate if you have any of the following: | Multiple earrings
Nose stud
Nose ring
Tongue stud
Eyebrow stud
Visible tattoo
Dreadlocks
|
| Application |
|---|
| Preferred contact method: | |
| Do you consent to your application profile and photograph being forwarded to prospective host families? | |