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Planet
Au Pair
AU PAIR USA APPLICATION FORM (All information
is confidential and will not be shared with anyone other than Planet Au Pair, Au
Pair Foundation and host families).
Please
fill out every section. After reviewing your application, we will contact you
for an interview.
Name__________________________________________________________________
Address:______________________________________________________________ _____________________________________________________________________ Telephone________________________ Fax ___________________________ Email:___________________________ Date of Birth___________ Religion_______________ Nationality________________ Height______ Weight______ Sex___ Occupation____________________ Previous occupation(s):_______________________________________________________ _________________________________________________________________________
_______________________________________________________________________ ________________________________________________________________________ Father's occupation___________________ Mother's occupation__________________ Brothers and sisters and their ages: _____________________________________________ When did you leave school? ______________ Qualifications___________________________ What are your career plans?___________________________________________________ English proficiency level: Excellent ____Good ____Fair ____Poor ____None __ Do you speak any other languages and at what level?__________________________ Do want to attend language classes?___________________ What is your experience with children and their ages:______________________________ ______________________________________________________________________ ______________________________________________________________________
What are your interests, hobbies and child care related activities you can/would undertake ? ______________________________________________________________________ ______________________________________________________________________ Are you an animal lover?_______________
Do you have a full driver's license?_____
______________________________________________________________________ ______________________________________________________________________ Do you understand that you will be expected to help with the child care related light housework?______ Do you smoke?_____ If you smoke, would you be willing to smoke only outside of your host's home?_____ Do you understand that if you smoke against your host's wishes, they are completely within their rights to ask you to leave?_____ Do you have any health problems?_____ Allergies?_____ Criminal record?_____ What ages of children do you prefer?___________ Do you like babies?______ How many children are you willing to look after?_______________ Do you wish to be placed near friends or relatives? If so, please give details____________ _____________________________________________________________________ When do you wish to be placed?__________________ (Not guaranteed) I, the undersigned, confirm that all the information provided above is true. Signed_________________________________ Date__________________ How did you hear about us?______________________________________________
CONDICIONES
ADICIONALES AL CONTRATO AU PAIR Una vez aceptada en nuestro programa y colocada con una familia,, la candidata abona la cantidad de 319 € que no son reembolsables. La
candidata perderá todo derecho a reclamación si unilateralmente tomase la
decisión de abandonar la familia o de volver a España o su país de origen. En el
supuesto de que la candidata no sea admitida en el país de destino, o una vez
admitida sea devuelta de allí por orden de la autoridad, Planet Au Pair declina Acepto
que Planet Au Pair actúa meramente como intermediario entre la familia en el país
de destino y yo y queda exonerado de cualquier responsabilidad legal y No se
garantiza fechas de estancia o fecha de comienzo de estancia, ni ciudad ni
provincia. La
documentación no se devolverá a la interesada.
Los gastos de gestión y honorarios no son reembolsables bajo ninguna circunstancia. LEÍDO
Y CONFORME
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