Au Pair Registration Form
Thank you very much for your interest in joining Culture Online! We place Au Pairs mostly in the Netherlands but we do place Au Pair candidates all over Europe. Please complete the form and give your best in answering all of the questions.
First Name *
Last Name *
Gender *
Age *
Contact Mobile Number *
Contact Email Address *
Video/Web Conferencing Contact Info *
Please provide your Skype ID or Zoom you prefer to be used for initial talk
Facebook Link *
Nationality *
Educational Background *
University Degree | Your Professions *
Languages Spoken *
How is your health condition? *
Do you have a passport? *
Have you travelled abroad? Please provide more information. (Which country and your reason for travel) *
When is the earliest possible date that you can start being an Au Pair? *
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What motivates you to become an Au Pair? *
Child Care Preferences *
Given the choice, what are the age groups that you prefer working with? Please select all that apply.
Required
Please select all the traits that best describe YOU. *
Required
Please select traits that you DO NOT want in a Host Family. *
Required
Please select traits that you DO want in a Host Family. Please select up to five traits. *
Required
Please tell us more about you *
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