Au Pair Interview Questionnaire
Please complete this form to help us assess your suitability for an au pair position.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Nationality
*
Please Select
United States
Canada
United Kingdom
Australia
France
Germany
Spain
Italy
Other
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Languages Spoken
*
English
Spanish
French
German
Italian
Mandarin Chinese
Other
Childcare Experience Overview
*
Rows
No Experience
Some Experience
Extensive Experience
Infants (0-2 years)
1
2
3
Toddlers (2-4 years)
4
5
6
Young Children (5-8 years)
7
8
9
Older Children (9+ years)
10
11
12
Which household tasks are you willing to perform?
*
Light cleaning
Meal preparation
Laundry
Homework help
Pet care
Other
How would you rate your ability to handle challenging situations with children?
*
1
2
3
4
5
Describe a difficult situation you have faced while caring for children and how you handled it.
*
Why do you want to become an au pair?
*
When are you available to start?
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please provide at least one reference (name and contact details).
*
Submit Application
Should be Empty: