Registration for au pairs

Please make sure you fill out all the fields in the form below.

Full name:
Married?:	Yes No
Date of birth:
Nationality:
Do you need a UK work visa? If you already have a work visa when does it expire?
Home address:
Preferred contact telephone number:
Email address:
Is your health good?	Yes No
Can you drive in the UK?	Yes No
Do you have children?	Yes No
Do you speak fluent English?	Yes No
What other languages can you speak?
How long do you want to stay in the UK?
How would you describe your personality?
Why do you want to be an Au Pair?
What kind of indoor and outdoor activities do you like to do with children between 9 months - 5 years old?
What is your current position?
Do you have previous au pair experience in the UK?
If you answered 'yes' to the above question, can you provide your last host's family name and phone number?
Provide other references' names and phone numbers if you have them
What were your responsibilties at your previous host family?
How long have you worked for them?
What would you say about your cooking skills?
Can you swim	Yes No
Do you smoke?	Yes No
Do you understand that smoking, drinking and/or using drugs is strictly not permitted at work?	Yes No
Do you like pets?	Yes No
Are you happy to do light housework?	Yes No
Are there any other circumstances you feel we should be aware of?
Have you got a medical certificate?
Do you have a police or CRB check?
Can you play any musical instruments?
How did you hear of Stella's Nannies?