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Au Pair Profile

Au Pair Profile Form

I. Personal Information

Please fill out all the fields of the following form.

Salutation

First Name

Middle Name

Family Name

Gender

Status

Age

Date of Birth

Nationality

Home Address

Country

Email Address

Mobile Phone Number

WhatsApp

Viber

Height

Weight

Ethnicity

Religion

II. Educational Attainment / Competencies

Educational Attainment

Degree Obtained (Optional)

Date when degree was Obtained

College/University where degree was Obtained

Technological Proficiency

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Foreign Language Learning Certification (if any)

Foreign Language Exam Certification (if any)

III. Foreign Travel Experience

If you have not yet acquired any experience in traveling abroad, you may skip this section and proceed to the next.

How many times have you traveled abroad?

Which countries have you traveled to?

Where was your latest foreign travel destination?

When was this latest foreign travel of yours?

End date

Why do love to travel abroad? (you may right your reason/s in bullet/s)

What are the best learning experiences you gained from your foreign travels? (You may write your experiences in bullet/s.)

Of the countries that you have visited, which one was your favorite?

Which cultural experience you have acquired from your foreign travels do you consider the most significant? Can you explain it briefly?

IV. Childcare Experience

Have you ever had any childcare experiences involving families?

Yes
No

Have you provided childcare services to a childcare facility?

Yes
No

How many years have you acquired in this area?

How many children have you provided care for in your number of years of performing this task?

What age group do those children you have cared for belong to? (Please tick the box that applies.)

1-3 years old
4-7 years old
8-11 years old
12-14 years old
15-18 years old

Which childcare skills have you provided to different families? (Please tick the box that applies.)

Supervision of children's educational and recreational requirements and routines.
Supervision and maintained children's hygiene routine.
Preparing and cooking specific dishes, meals, and refreshments for children daily.
In-home daycare and tutoring for early toddlers to aid in developing emerging literacy abilities and social/emotional development.
Provided Therapeutic Crisis Intervention for emotionally and behaviorally challenged children and teens.
Using task analysis and applied behavior analysis methodologies, provide care, support, and therapy to a kid with special needs.
Provided, in a behavioral residential environment, mental health care and maintained a therapeutic milieu for children ages 6 to 17.
Direct care and behavior management for children in residential treatment and emergency care.
Arranged for kids' transportation to events, such as school, job, church, and doctor's appointments.
Knowledge of domestic violence, child abuse, child neglect, and sexual offenses statutes, both criminal and civil.
Supervised and provided for children who were child abuse or neglect victims and stayed at a childcare facility.
Supervised and provided direct care to 12 emotionally troubled, abandoned, or abused children in a childcare facility.
Gave direct care to kids with emotional and behavioral issues in a residential program.
Supported children's emotional and social growth and promoted empathy for others and healthy self-concepts in a home setting.

Can you provide 3-5 reasons why you love to provide childcare to different families and/or childcare facilities?

Which aspect of childcare do you find fulfilling or rewarding? Can you explain your answer briefly?

Which aspect of childcare is not your strength or specialty? Can you explain briefly?

What specific areas in childcare would you like to improve or acquire training?

What specific things would you like to request from your host family regarding your daily needs or basic necessities? Kindly identify 10 items and provide a one-statement reason for why you need them.

Can you describe what ideal childcare looks like regarding what an Au Pair should provide to the child/children of the host family?

I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application or immediate termination of Au Pair Visa application and participation.

(Name and Signature)

(Date)