Care International

Almondbury contact details Contact

Nanny page

Prefill with facebook

Due to the various definitions of au pairs and nannies depending on where you are and where you want to work, this application form is for: Otherwise please go to the au pair page.
(Please fill in all the fields with as much information as possible. * required fields)



First name


Last name




Post code/Zip




Your email address


Please confirm email address


Website address (if any)


Skype (if any)

Country of residence if different than home address

Date of birth (age)



Do you practise your religion

No Sometimes Yes

Nationality (Passport)


What is your native (Mother tongue) language


Any other languages

1: 2: 3:

Are you smoker

* Yes Social No

Can you swim

* Yes No

Do you have any medical or allergy problems


Can you produce a health/medical report

Yes No


Childcare related qualifications/experience


Other certificates (ie CPR, First Aid, Life guard...)


Are you a driver

* Yes No

Can you cook

* Yes No

Are you happy to do housework if required

* Yes No

Please give details of holiday
(vacation) time required

Are there any type of pets that you can't tolerate

Previous employers

Can you obtain police clearance to confirm
a clean criminal record

* Yes No

How would you describe yourself
to a potential family

Do you want to live with the family


Which country do you want to work in.
To select more than one keep your
control (Ctrl) key pressed down


Any specific city or location

For how long


Minimum salary required per month

Start date


By submitting this information I hereby
confirm that the above information is true

au pair & nanny agency Established 1994  Au pair & Nanny Site Map Email us for help on au pairs or nannies 28-Jun-2017