Surname/Last name:
First name:
Gender:
Nationality:
Au Pair Email Address (NOT AGENT):
Current Address:
Suburb/City:
Postcode (ZIP code):
Phone number:
Passport number:
Have you worked as an au-pair/housekeeper or nanny before?:
No Yes
Have you had experience with house work or minding children?:
No Yes
Do you smoke?:
No Yes
How old are you?:
Do you have any allergies?:
Have you suffered from an eating disorder?:
Do you have a drivers license?:
No Yes
Do you have any medical conditions or take any prescription medication on regular basis (excluding contraception):
No Yes
If so, please describe::
Will you be bringing any medication into the host family home?:
Au Pair language skills It is very important for the host families to know more about your language skills. Please answer the next 2 questions honestly. In the first box you should select all the languages that you can speak fluently (including your native language). In the second box you should select all the languages that you have basic knowledge and understanding of.
What languages do you speak fluently?:
What languages do you have a basic understanding of?
Please select the level of English you have:
Advanced
Intermediate
Pre-intermediate
Elementary
Program Selection Criteria Which length of stay are you interested in?:
6 Months
8 Months
10 Months
12 Months
Are you interested in a Country city/town placement?
No Yes
Do you have a preference for which State you come to?
Which visa do you have?
When you would you be available to start your au pair program? Date:
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 the Partner Agencies. It will not be used for any other purpose.
No Yes
PLEASE ANSWER ALL QUESTIONS BELOW IN DETAIL 1. Have you had any experience in being part of an environment that only speaks English every day?:
2. Homestay program and Au Pair program are very similar, but has 3 very different points.
• You have responsibilities as an adult in the house, help to maintain the order, tidiness, and educate the children at all times that you are around them. If they do something wrong you should intervene when appropriate and teach the children the correct behaviour.
• You must be independent and be able to enjoy your free time without counting on the family to entertain you.
• You must be able to communicate in an equal level, professionally and respectfully with family members at all times, good and bad or hard, example: When discussing any change which you think should happen to achieve a better daily routine.
• You MUST learn how to do all the tasks from the family member during the first weeks. It is your responsibility to learn and be able to do the duties, also be sure to ask questions. Please ask family members to show you how to do things, or what product to use, how long it normally takes to get it done, etc.
Do you understand these points?
:
3. We believe you had a look at our website by this time. Do you understand our program and our policies? If not fully, please ask questions at any time, we are here to help!:
4. The Agency created this program for people from overseas that wish to experience a family environment and be part of an Australian family. Do you think that you will be able to communicate with all family members about good and also difficult topics? :
5. It is the au pair's responsibility to initiate conversations and to interact with family members, despite any language barrier. You are learning and improving your English along the way, and if you give up talking to them because you are shy or are afraid you will not understand the conversation, the family will take longer to know you, and will think you don't like to make friends with the family members. And you will possibly feel lonely. So we ask you now, are you prepared to try really hard for a long period of time to communicate with your family? :
6. The family will show you how to do your job and how long you should take in each task on your first week. If you don't understand the verbal instructions, can you make sure you ask again and look for the meaning in different ways (dictionary,google etc) until you understand the instruction? :
7. Au pairs should be aware that communication with the family, and/or us, is an integral part of our programs. The other problem is lack of training, the family needs to show you exactly how to do the job and will do the job together with you if necessary. So please ask and learn from family members how to do things, be proactive; get your jobs completed and done well! :
8. We design a work schedule with the family, so we can show the work required before you accept where they are going. Along with this work schedule you will receive general information about the family. This way we avoid many misunderstanding and false expectations. This schedule is flexible, and can be improved during the placement in order to benefit both the au pair and family. So you will have a work schedule. Everybody takes different time to do different jobs. If you need more time to do a certain job or if you can do the job in less time than what it is on the work schedule, you must talk to the family about changing, so you are happy and also the family agree. Do you think you can talk to the family about it not being shy or uncomfortable? :
9. I know that learning a culture is as hard as learning the language. Please try to talk to the family members about anything that you wish to change. They are nice people, normal families; they will listen to you and will change things for you if you talk to them properly. If there is anything bothering you, tell them in a nice way. They will find a solution together with you. But you have to talk and help change ideas. Do you think you can do that? :
10. Family hobbies described on the family profile you will receive doesn't mean activities they will do with you. It means that they like doing those things, so it indicates their kind of personality; it also shows what they like to do when they have time. The objective of this information is to help au pair to find a subject to talk about with family members and see what they like to do.
• For Example: So you like to read books? What was the last book you read? What kind of books do you like?
• If they like travelling, so where have you travelled to? Did you take all your children? Do you have photos? Can I see them?….And so on…
:
11. Do you think you will be able to be independent , have fun and enjoy your free time by yourself, without counting on the family to entertain you? For example, spend time with other au pairs or join a group like church or sporting team, explore the city you live in?:
12. Before you started the program, we offered you general information about the location and the family. During the program we offer you support to deal with any problems, it doesn't mean that we will be able to solve them for you. Everybody has to do his/her part. I really like to talk to all our clients, but I expect that changes happen after conversation. It is important that you always try to improve your communication skills with the family. If there is no communication about detailed information between an au pair and family members, problems can rise. Do you think you can find a good way to learn good communication skills and enjoy the family you are in? :
13. The most important thing for au pair is not the level of English. Our families can deal with low level of English. The most important is your personality and attitude toward life. To be able to be an au pair:
• Proactive
• Talkative
• Flexible
• Able to change roster with mother if necessary
• Honest and happy
• Able to take your part of responsibility to make your experience a rich experience – don't rely on other people to make your stay a great one, create this yourself with the situations you are offered.
:
14. I am asking the following question because children are always children and they are curious and have their good and bad days. Do you think you can manage children on bad days, when they are naughty? If not, do you think you can ask instructions from the mother in how to deal with such behaviour? :
15. If children go to au pair's bedroom and interrupt their privacy, are you ok to teach them not to , and if they keep doing it, are you capable to ask mother to help to teach them?:
16. Do you understand that you are mother number 2 in the house? You must be aware of time, safety, routines, work and responsibilities as much as the mother. This means that your jobs are to educate the children and teach them at all times AND do the housework as you have been trained by a family member and not your own way. Do you think you can do this?:
17. Do you understand that our program is based on an exchange, where both parties are giving and receiving benefits? :
Questions about your life Do you like children?:
Do you have brothers or sisters? If so, what are their names and age?:
Do you have experience with children, if so, please describe:
What are your hobbies and interests?:
Are you thinking about getting a job during your free time or study at school? If yes, what is it?:
Are you in Australia now? If yes, please write your arrival date and what you have been doing since your arrival (example: studied where and what, worked in any jobs, has done some volunteer work…etc):
Have you been in Australia before? If so, please write when and what you did while you were in Australia:
Please list your education level and qualification you may have (example: high school completed, description of courses and any studies done prior to au pair program):
Please list all job experience you have (if any):
We try to offer the most detailed and personal service to all our clients, both au pairs and families. Is there anything you would like to tell us that you think can help us to match the family with you?:
Please describe what plans and goals you wish to reach after the au pair program?: