NO REGISTRATION OR PLACEMENT FEES PAYABLE BY APPLICANTS                                                       FAMILY REGISTRATION IS FREE                                                       MATCHING FAMILIES, AU PAIRS AND NANNIES SINCE 1998                           NO REGISTRATION FEE FOR FAMILIES                                                      



Tel: 02 4363 2500
(international) +612 4363 2500
info@familymatch.com.au


Free Au Pair Application Form

Use this application form to send your details to Family Match.
Preference will be given to complete applications.

When complete, click the button. Your details will be automatically sent to us.
your contact details
01 first (given) name
02 family name
03 sex
  female   male
04 date of birth
05 residential address
06 telephone number
07 mobile/cell telephone number
08 e-mail address *Please note that a valid email address is required.
09 nationality
10 country of birth
your travel details
11 do you have a current valid passport?
  yes   no
12 which country do you plan to visit?
13 have you applied for a visa?
  yes   no
14 type of visa applied for 
15a date of arrival (if known)
15b airport of arrival (if known)
16 date of departure (if known)
17 for how many months do you intend to work as an au-pair?
employment history/childcare experience
18 please describe your experience caring for children,
and any formal Childcare Qualifications
19 what were their ages?
20 what is your current/most recent occupation?
21 please detail your employment history
22 do you have written references?
  yes   no
23 what are your hobbies and interests?
skills/qualifications/education
24 what is your ability to speak english?
  poor   good   fluent
25 please list other languages spoken
26 are you planning to study whilst visiting your country of choice?
  yes   no
27 if "yes", at which college(s)?
28a course/subject(s)
28b how many hours study per week?
28c please list study timetable
29 please indicate if you are experienced in Personal Training or have Tutoring skills, such as Languages, Mathematics, Sport etc. This will be of additional benefit to applicants.
30a can you swim?
  yes   no
30b can you ride a bicycle?
  yes   no
30c do you have a First Aid certificate?
  yes   no
driving
31 can you drive a car?
  yes   no
32 are you able to drive a manual transmission?
  yes   no
33 are you able to drive an automatic transmission?
  yes   no
34 do you hold a valid driving licence?
  yes   no
35 do you hold a valid international driving licence? 
36 have you had any accidents?
  yes   no
37 if "yes", list the date of all accidents, describe what happened,
and details of any disqualification
personal information
38 what is your religion? please describe any religious needs
39 do you have any illnesses or allergies?
  yes   no
40 if yes, please provide details
41 are you taking any medication?
  yes   no
42 if yes, please provide details
43 please indicate any special dietary requirements, such as vegetarian/vegan and intolerances to certain foods
  yes   no
44 if yes, please provide details
45 do you smoke?
  yes   no   socially
46 do you drink alcohol?
  yes   no   socially
47 can you cook?
  yes   no
48 will you cook for children?
  yes   no
49 will you cook meat for children?
  yes   no
50 will you do light housework?
  yes   no
51 please indicate if you have any of the following:
   multiple earrings yes   no
   nose stud yes   no
   nose ring yes   no
   tongue stud yes   no
   eyebrow stud yes   no
   lip ring yes   no
   other facial piercing yes   no
   visible tattoo yes   no
   dreadlocks yes   no
your application
52 please indicate any host families listed on our website
that you are interested in applying for
53 preferred position with host family 
54 preferred contact method
  telephone   e-mail
55 do you consent to your application profile and photograph
being forwarded to prospective host families?
  yes   no
confirmation
full name:
this information is true and correct 
date of application
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