Phone *
Date of birth * DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / MM 1 2 3 4 5 6 7 8 9 10 11 12 / YYYY 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920
Place of birth *
Gender * Female Female Male Prefer not to say
Height (cm) *
Weight (kg)
Highest Education Level * Masters Masters Bachelors Diploma Certificate
Why you would like to apply for this program? (Write the main reason in few words) *
Your present education? (write precisely the faculty / field of studies you are attending) *
Year of your studies: * Year 1 Year 1 Year 2 Year 3 Year 4 Graduate Other
Year when you will finish or finished your studies *
Name of University/College *
Title of qualification *
Main knowledge and skills gained from the studies *
List at least six course units completed in line with your preferred traineeship *
Which musical instrument do you play? *
What makes you unique? *
Who knows you best and why? *
How would your best friend describe you? *
Describe your relationship with your family. *
Who has had the greatest impact in your life and why? *
What moment in your life would you choose to relive and why? *
Which famous celebrity do you admire and why? *
One item you possess that you would run into a burning house to save. *
What is your favourite quote from a TV show or movie? *
What do you do to ensure you are heathy? *
Who is your favourite author? *
How do you show others you care for them? *
What is the most important thing for maintaining a healthy relationship with others? *
If you were making a movie based on your life, what famous actor would play your role? *
What problem in the world do you hope to see solved in your life time? *
What children book do you cherish the most? *
What item from childhood have you held on to adulthood? *
What item from childhood have you held on to adulthood? *
When in a bad mood, do you prefer to be alone or company to help you feel better? *
What is this one question people ask you the most? *
Tell us about your education. *
What do you do in your free time? *
What experience do you have with kids? *
What scares you most about dealing with children? *
What is the simplest meal you can make a child? *
Two kids are fighting each other, how do you handle this? *
What would your ideal host family be like? *
How will you handle disagreements with your host family? *
Your motivation for be an au pair. (Dear Host Family letter) *
Your expectations of the au pair family. *
Date you'd wish to start. *
