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We request that you complete the form to help you build the best possible experience abroad. We remain at your disposal for any information or details you may need.

Personal Info
Name
Surname
E-mail (username)
Telephone nr. (with international code) *
 
Date of Birth
Place of Birth
Country of Citizenships
Gender
Do you smoke?
Driver ?
Are you willing to drive abroad?
What is your religion, pls.?
Program
Country Requested (I)
Country Requested (II)
Country Requested (III)
Can you swim?
Do you have previous experience in childcare?
Summarize your overall experience with children, pls.
Program Type
Program Lenght
Earliest start date
Latest start date
Legal & Study
Have you ever been charged or convicted of a criminal offence?
Studies performed
Diet & Health
Do you have any chronic or recurring health problems? For example: asthma, diabetes, cold sores…….?
Do you have any allergies (include pets)?
Have you been hospitalised or under the care of a doctor within the last 12 months?
Are you currently receiving, or have you received, any psychiatric or psychological treatment?
Are you on a particular diet?
Would you agree to undergoing a test for aids/HIV?
Family Preference
Would you accept a single parent family?
Would you accept a family with a different religion?
Are you ready to take care of disabled children?
Do you like animals?
Could you consider to share your room with the children?

How much experience do you have with please select:

looking after children aged 0-2?
looking after children aged 3-7?
looking after children aged 8-12?
looking after disabled children?
keeping children occupied (play with them)?
doing light housework?
washing/ironing clothes?
cooking simple meals?
looking after pets?
Special wishes and/or important remarks for your placement:
Privacy Policy
Pls. sum up and write the total
2+1
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