Form for au pairs – My Family Au Pair

Personal Information
Religion & Eating Habbits
Education, Work & Personality
Languages
Hobbies, Driver's license & Pets
Experience
Host family & Letter
Pictures
Other
Rights & duties

Information about yourself

Surname *

Please enter as shown in your passport.

First name(s) *

Please enter as shown in your passport.

Profile picture (picture of yourself) *

Maximum file size: 516MB

gif, jpg, jpeg, jpe & png

Gender

Nationality

Place of Birth *

Date of Birth *

Passport Number

Date Passport was Issued

Passport not valid

Passport

Maximum file size: 516MB

Residence permit

Maximum file size: 516MB

If you live in a country other than the country of your nationality, please upload your residence permit/visa.

police clearance certificate

Maximum file size: 516MB

Please enter the address that should appear on the au pair contract with the host family.

Street & House number *

Postal code

City *

Country *

Country code

Phone number

WhatsApp/Telegram number

Email address *

Please enter your e-mail address

Confirm Email address *

Please confirm your email address

Facebook/Instagram account

How should we contact you? *

Facebook

Phone

Height in CM

Weight in KG

Rematch Au Pairs

Yes

You are an au pair already and wish to change families / rematch?

Rematch Au Pair candidates

You are already an au pair and want to change the host family?

Address with the current host family *

Postal code *

City *

Country

Reason for rematch *

Visa valid from *

Earliest date for changing family *

Contract terminated? *

Yes

Information about your family

Please tell us more about YOUR family, so that we can get to know you better. This is not your host family.

Single Dad

Yes

Name of Father

Profession/Job

Age

Single Mom

Yes

Name of Mother

Profession/Job

Age

Number of siblings

Tell us about your siblings *

Tell us about your siblings. How old are they? What are they doing at the moment? Do you see each other often? Do you have a good relationship?

Health

Do you have allergies? *

Yes

If yes, which?

Do you smoke? *

Yes

Sometimes

Can you do without it?

Yes

Are there any pre-existing medical conditions or have you had chronic diseases? *

Yes

If yes, which?

We need a medical certificate from every au pair. This can be submitted at a later point in time.

Date of the medical certificate

Medical certificate

Maximum file size: 516MB

We need medical certificate which confirms that you are fit and health to be an au pair. If you already have a medical certificate, you can upload it here. If you do not yet have a medical certificate, we would ask you to download the following template: .
Please make an appointment with a doctor of your choice as soon as possible and send us the medical certificate as soon as possible.

If you are human, leave this field blank.

Information about yourself

Rematch Au Pair candidates

Information about your family

Further personal information

Health