Contact

email address:
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Comment:

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Do you smoke:*:< br />
Do you like pets:*:< br />
Do you suffer from any allergies:*:< br />
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Have you ever been an au-pair in this country:*:< br />
German:*:< br />< br />< br />
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English:*:< br />< br />< br />
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ride a bicycle:*:< br />
Do you play any musical instrument:*:< br />
Experience in care taking of:*:< br />< br />< br />
Do you have any references:*:< br />
Children of what age would you like to work with:*:
a family with more than 3 children:*:< br />
a single mother :*:< br />
a single father:*:< br />
Do you have experience in looking after disabled children:*:< br />
Washing, ironing:*:< br />< br />< br />
Cleaning:*:< br />< br />< br />
Cooking:*:< br />< br />< br />
Baking:*:< br />< br />< br />
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City:*:< br />< br />
Village town:*:< br />< br />
Place nearby a city or village town:*:< br />< br />
Rural area:*:< br />< br />
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driving license:*:< br />
I have registered in another au-pair agency:*:< br />
The application form was completed:*:< br />
I declare with my signature that all data given by me correspond with the truth that changes will be communicated immediately to the employment agency. I agree with the fact that the data given by me are stored electronically.*:
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