Welcome to Transnational Au Pair Link Ltd.

We are a family owned company that focuses on connecting New Zealand families with European (Swedish primarily) Au Pairs.

Our two main offices are situated in Auckland, New Zealand & in Stockholm, Sweden.

We have families registered with us from all around New Zealand and Au Pairs from all corners of Sweden!

Au Pairs register for free & our registration is not binding!

Application Form

Name of Applicant - As it appears in passport

* = required

Personal Details

Last Name: *	Required
First Name: *	Required
Other Names known by: *	Required
Initial(s): *	Required
Occupation: *	Required
Date of Birth (DMY): *	Required
Country of Birth: *	Required
Passport issued in:
Passport expiry date:

Contact Details

Postal Address:
Post Code:		Country:
Telephone Number:		Mobile Phone:
Local Number:		Fax Number:
Best time to call:
Email Address:
Emergency Contact Person:
Relationship:
Phone Number:

Availability

Earliest date(s): *	Required
Latest date(s): *	Required
Notice required (at work): *	Required

Experience & Preference

(Tick box to indicate that you are willing to take care of age group or have experience with it)

3 months - 1 year	2 - 6 years	Caring for 2 or more children
1 -2 years	6+ years	Caring with disabilities
Others:

Please note that the more options you tick - the more families will be able to quick list you. It is common for families to have 2 or more children. Many of our families have children under age 2; you will only be permitted to deal with this age group if you have documented experience of it.

Notes:

Agency Notes:

Reason for applying as an Au Pair

We would like to know more about you and therefore we ask you to choose between the following options to establish why (except for the children) that you would like to be an Au Pair.

Improve my English	Experience a new culture & meet new people
Widen my horizon	Try new things & challenge myself
Gain work experience	Share my culture and traditions with a family
Others	Earn money while living abroad
Please Specify:

Background

Are you religious?	Yes No
What is your religion?
What is your native language?
What other languages do you speak?
How many brothers & sisters do you have?
Have you ever lived away from home?

Special Interests

Please tick any of the boxes that you are interested in.

Swimming	Horse Riding	Outdoors	Camping
Cycling	Hiking	Tennis	Soccer
Running	Gymnastics	Writing/Reading

Musical Instruments:

Piano	Guitar	Violin	Chorus
Dance	Photography
Do you know how to swin?	Yes No
	Advanced Intermediate Beginner
Please mention any other sports or activities you like to do:

Driving Experience

At what age did you start learning how to drive? *	Required
Date that you received your license (DMY): *	Required
Have you ever had a car accident (if yes please provide details): *	Required
How often do you drive? *	Daily 3 -5 times per week 1 -2 times per week or less
What types of roads have you driven on (country, highway, city, suburb): *	Required

Education

Please complete the diagram below, make sure you indicate any education you have completed. If you run out of space please photocopy this page and attach it to the documents.

Level of Education (High school / college e.t.c.)	Start Date	End Date	Special Skills	Reference available (please provide name)

Work Experience

Job Title	Dates	Duties	Notes

Future Perspective

Upon completion of your 12 month term with your family, what is your intention when you return to your home country (study, work)?

What are your goals in life and with your career?

Have you visited New Zealand previously? If yes, then when and for how long?

What are your expectations of our program?

Have you lived abroad previously? If yes, for how long?

General Enquiry

Non smoking policy
As previously mentioned the program has a "non-smoking" policy. This means that when you sign this contract with our agency you need to commit to never smoking in the presence of the children or on the families property. If you do not comply with this rule you will risk immediate eviction from the program.

Please consider this carefully, if you can abide by this rule please tick the box. Yes Please tick to accept policy.

Have you ever been convicted of a crime or charged with a criminal offence?
Yes No
If yes, please provide details:

Have you ever been the victim of physical abuse or sexual abuse?
Yes No
If yes, please provide details:

Do you have any recurring health problems or any chronic illnesses (diabetes, seizures, asthma)?
Yes No
If yes, please provide details:

Do you have any allergies of household pets?
Yes No
If yes, please provide details:

Do you have any food allergies?
Yes No
If yes, please provide details:

Do you follow a diet or are you a vegetarian?
Yes No
If yes, please provide details:

Do you take daily medication for any health related problems?
Yes No
If yes, please provide details:

Have you been hospitalised within the last 18 months?
Yes No
If yes, please provide details:

Have you suffered from emotional problems or received counselling?
Yes No
If yes, please provide details:

Have you suffered from an eating disorder?
Yes No
If yes, please provide details:

Childcare Experience

All applicants must have at least 100 hours of childcare to apply for the program. These hours must be recent, referenced and there needs to be "practical" childcare involved. If you want to take care of children under age 2 you need 150 hours of childcare experience within this age group.

Please indicate if you know how to perform the duties stated below...

Bathing a baby (9 months - 12 months): Yes No
If yes, please provide details:

Bathing a toddler (13 months - 24 months): Yes No
If yes, please provide details:

Change a diaper: Yes No
If yes, please provide details:

Burp a baby: Yes No
If yes, please provide details:

Put a baby to bed: Yes No
If yes, please provide details:

Put a child to bed: Yes No
If yes, please provide details:

Preparing a child's meal: Yes No
If yes, please provide details:

Position (Example: Babysitting)	Date (Aug 2004 - today)	Duties (Playing, organising dinner, reading books e.t.c)	Notes

Please note that you can include any childcare experience, with your own family or voluntary work. Include any and all duties that you have held that have concerned children. If you do not have enough space to write please photocopy and attach a second sheet.

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