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Norme per gli au pair
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Norme per la famiglia
CHI SIAMO
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Agenzia Au Pair, Ragazze alla Pari all'estero
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First Name
Middle Name
Last Name
Username
Email
Password
Verify Password
Terms and Conditions
Accept
Terms and Conditions
Name of father
Age of father
Occupation father
Name of mother
Age mother
Occupation mother
Secondary address
Address family
Region/County
Tax Code
VAT number
Telephone
Telephone of father
Telephone of mother
Fax
Mobile
Religion
Name and age of children
Children’s school timetable
Languages father
Languages mother
Languages children
Domestic animals
Type of help required
Au-Pair / Ragazzi alla pari
Nanny / Bambinaia
English tutor / Tutore di inglese
Mothers help / Aiuto alla madre
Babysitter not resident / Babysitter non residente
Date when work is to commence
Date when work is to finish
Job description
Number of hours worked per day
live in
live out
morning
afternoon
Free day(s) per week
Weekly wages
Are you willing to pay the air-fare home after the girls one year stay ?
Yes
No
Preferences regarding the following?
Smoker / Fumatore
Driver / Guidatore
Swimmer / Nuotatore
Cooking / Doti culinarie
English speaker / Parla inglese
Italian speaker / Parla italiano
Is it necessary to know English ?
Yes
No
Is it necessary to know Italian?
Yes
No
Type of accommodation provided
Own bedroom / Stanza personale
Own bathroom / Bagno personale
WIFI available / Wifi disponibile
Use of TV / Televisione
Use of telephone / Telefono
Use of mobile phone / Uso del cellulare
Any other domestic staff
Other information (family, holidays, town...)
Address
Telephone parents
Occupation Father/Mother
Brother(s), sister(s) ages
Place of birth
Date of birth
Nationality
Height
Weight
Passport n°
Valid until
Education info
Certificates
Present Occupation
Early start date
Latest start date
Future plans
How long would you like to stay?
Which of the following do you prefer?
City
Countryside
Little Town
Suburbs
Preferred area
Preferred country
Would you drive for the family?
Yes
No
Do you smoke?
Yes
No
yes, but I will not smoke in the house / Sì, ma non fumerò in casa
Do you possess a valid driving licence?
Yes
No
Programme name
Au Pair / Ragazzi alla pari
Nanny / Bambinaia
English tutor / Tutore di inglese
Mothers Help / Aiuto alla madre
Babysitter not resident / Babysitter non residente
Have you had any health problems in the past?
Do you suffer from any Allergies?
Do you have a special Diet?
Have you ever lived away From home?
Yes
No
English
None / Nessuna
Poor / Scarsa
Sufficient / Sufficiente
Good / Buona
Others language
Italian
None / Nessuna
Poor / Scarsa
Sufficient / Sufficiente
Good / Buona
Spanish
None / Nessuna
Poor / Scarsa
Sufficient / Sufficiente
Good / Buona
German
None / Nessuna
Poor / Scarsa
Sufficient / Sufficiente
Good / Buona
French
None / Nessuna
Poor / Scarsa
Sufficient / Sufficiente
Good / Buona
Would you like to attend a language course?
Yes
No
Describe below all your childcare experience in as much detail as possible. List: ages of children, responsibility etc.
Have you taken any course relating to Childcare?
Have you any professional qualifications?
Do you have any other talent/skills which may be useful i.e. first aid?
What experience do you have in domestic work?
Please describe your hobbies, interests and sports:
Do you know how to swim?
Yes
No
Do you have experience with disabled children?
Yes
No
Are you willing to care for a disabled child?
Yes
No
Preferences about the age of children
Newborns / Neonati
1-2 months / 1-2 mesi
1-3 years / 1-3 anni
3-6 years / 3-6 anni
6-10 years / 6-10 anni
Over 10 years / Oltre 10 anni
Are you willing to work with a single mother/father?
Yes
No
If not please explain
How many children do you wish to care for?
Would you be willing to work additional hours for more pay?
Yes
No
Have you ever been arrested/in trouble with the law?
Yes
No
Skype
Monday
Tuesday
Wensday
Thursday
Friday
Saturday
Sunday
Any other info?
Dear family... (presentation mail)
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Profile type
Host Family Application - Registrazione Famiglie ospitanti
Au Pair Application - Registrazione ragazzi/e alla pari (Europe, Australia)
Au Pair Application - Registrazione ragazzi/e alla pari (America)
