What is your name?
What is your age?
What is your date of birth?
What is your E-mail address?
Do you have a driver’s licence?
If you answered yes, when did you obtain your drivers licence?
Do you feel comfortable driving on highways?
How many years of driving experience do you have?
Do you have matric?
Highest level of education?
Please explain your qualifications
Gender Identification:
Are you a South African or Namibian citizen?
Do you have an EU passport?
What city and country do you reside?
Contact number: (Please select)
Do you smoke?
What is your relationship status?
Do you have children of your own?
Can you cook well?
Can you swim?
Can you cycle?
Are you on any medications?
(If yes, please explain more)
Have you ever received counselling or used medication for depression or anxiety?
(If yes, please elaborate as much as you are comfortable with sharing)
Do you have any special certifications with regards to childcare or children/first aid etc that can add to your application?
(If yes, please explain more)
Please explain your childcare experience in detail including the ages of the children
Why do you want to Au Pair abroad and what do you want to do when you come back home?
Do you know which Au Pair program you are most interested in?
I am interested in more than one Au Pair program, please state which programmes you are interested in?
Have you ever had a previous visa denial?
(If yes, please explain more)
Have you ever been an Au Pair abroad before?
(If yes, please explain when and where)
