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your contact details
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01 first (given) name
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02 family name
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03 sex
female
male
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04 date of birth
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05 residential address
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06 telephone number
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07 mobile/cell telephone number
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08 e-mail address
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09 nationality
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10 country of birth
|
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your travel details
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11 do you have a current valid passport?
yes
no
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12 which country do you plan to visit?
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13 have you applied for a visa?
yes
no
|
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14 type of visa applied for
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15 date of arrival (if known)
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16 airport of arrival (if known)
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17 date of departure (if known)
|
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employment history/childcare experience
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18 please describe your experience caring for children,
and any formal Childcare Qualifications
|
19 what were their ages?
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20 what is your current/most recent occupation?
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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
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26 are you planning to study whilst visiting your country of choice?
yes
no
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27 if "yes", at which college(s)?
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28 course/subject(s)
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29 how many hours study per week?
|
30 please list study timetable
|
30a 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.
|
|
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 do you have a special diet?
yes
no
|
44 if yes, please provide details
|
45 do you smoke?
yes
no
|
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:
|
|
your application
|
52 please indicate any host families listed on our website that you are interested in applying for
|
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53 preferred position with host family
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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
|
|