Sign up as an Au pair

* Required field

Personal Details

Surname / Last name *

First name *

Email address * We send important administration notices to this address. This will also be your login name.

Denomination *

Where did you hear about us? *

Your Gender *

Male

Female

Date of Birth *

Address / Street / Building *

Current Country of residence *

County / State / Province / Region *

City / Town of residence *

Your nationality *

Postcode (ZIP code) *

Phone number *

Do you hold a valid driving license?

Yes

No

Are there any animals you dislike or are allergic to? *

Yes

No

If yes, please give details

Are you suffering from any medical condition that will affect your work? *

Yes

No

If yes, please give details

Do you smoke? *

Yes

No

Are you asthmatic? *

Yes

No

Your Language Skills

You speak these languages very well or fluently *

You have basic knowledge of *

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Alpha Christian Au Pairs is a trading name of Alpha Business Connect Ltd. Company Registered in England and Wales. Registration Number 09676924.