Au Pairs Register
If you are an Au Pair wishing to register for a job with County Nannies please complete the following form and press "Finish & Submit"

Alternatively, try our job search facility and find families seeking help directly online with us:


To register, please complete the following form as best as possible:

PERSONAL DETAILS:
Your Name:
Email Address:
Address (Line 1):
Address (Line 2):
Town:
County:
Postcode:
Country:
Telephone (Home):
Telephone (Mobile):
Telephone (Work):
Nationality:
Date of Birth:
Place & Country of Birth:
Age:
Height:
Weight:
Sex:
Hair Colour:
Eye Colour:
Earliest date available:
Latest date available:
Length of stay required:
Preferred Location:
Do you have a driving licence?
Are you willing to drive in the U.K?
Date driving test passed:
EDUCATION:
Level of education:
Languages spoken:
Level of English:
Present Occupation:
Employer:
EXPERIENCE:
(Childcare, babysitting, housekeeping, medical, teaching, etc.)
Job #1
Dates:
Name & Address of Employer:
Telephone:
Responsibilities:
Job #2
Dates:
Name & Address of Employer:
Telephone:
Responsibilities:
HOUSEWORK EXPERIENCE:
Are you willing to do housework?
Vacuuming experience:
Dusting experience:
Ironing experience:
Tidying experience:
Cooking experience:
OTHER REFERENCES:
(Work, school, etc.)
Referee #1
Name:
Telephone:
Relationship:
Referee #2
Name:
Telephone:
Relationship:
FAMILY BACKGROUND:
Father's name & occupation:
Mother's name & occupation:
Address & Telephone:
How many brothers/sisters do you have? How old are they?
Religion? Do you regularly attend religious services?
Are your parents supporting your decision to come to the UK?
AGE GROUP EXPERIENCE:
Newborn:
9 - 24 months:
2 - 5 years:
5 - 10 years:
Older than 10:
Special Needs:
Age group preference:
Family Preference:
We will try to place you with a family suitable to your personality, but indicate if you do not wish to be placed with any of the following families
No single Mother families
No single Father families
No family pets
ABOUT YOU:
What interests do you have?
Do you swim, have a background in art, music or dance or have other skills that may relate to childrens' activities?
Do you smoke?
Have you ever taken illegal drugs?
Do you get homesick?
Have you ever lived away from home?
Have you ever lived out of country?
Do you have a criminal record?
Have you ever been married?
Do you currently have a steady relationship?
Do you have children of your own?
Do you have any financial commitments?
Do you have any physical or mental limitation?
Do you have any medical conditions requiring treatment?
Do you have any allergies?
Do you have any dietary restrictions?
If yes, please give details:
Why do you want to be an Au Pair?
What are your plans after you have been an Au Pair?
How did you hear of us?