House o Orange: Basic Au Pair and Nanny application

If you're interested in a placement through House O Orange Au Pairs Please send us your application by submitting this form. Once we've screened your application we will contact you a.s.a.p. All questions are mandatory.

First name:
Last name:
Date of birth:
Country issuing your passport:
Gender:
Current mailing address:
City:
Country:
Daytime phone no.:
Daytime phone no.:
Current e-mail address:
Available from: month/year
Until: month/year
Smoker:
Driver:
Native language:
Level of English:
What other languages do you speak?
Do you have any formal childcare training?
If yes, please specify:
Please list your babysitting and other childcare experiences and include ages of children:
Are you looking for a live-in/live-out position?
Are you looking for an au pair or a nanny position?
Is there specific part of Holland that you would like to work in?
If yes, please specify:
What age group (children) do you feel most comfortable with?
Please list some of your hobbies and interests:

Please submit your form now.