Au Pair Application Form

Συμπλήρωσε την παρακάτω online φόρμα συμμετοχής. Μόλις λάβουμε την αίτησή σου θα επικοινωνήσουμε το συντομότερο μαζί σου τηλεφωνικώς ή μέσω email. Για οποιαδήποτε πληροφορία ή ερώτηση έχεις σχετικά με την συμπλήρωση της αίτησης μπορείς να επικοινωνήσεις μαζί μας.

Email: info@anixi.eu – Τηλέφωνο: 210 3000621.

Applicant Information - Step 1 of 9

Full Name *

First

Last

Email *

Confirm Email

Date of birth:

Phone

Best time to call:

Skype:

Do you have WhatsApp?

Do you have FaceTime?

I’m applying to be an au pair in:

Gender

Emergency Contact Name:

Relationship to you:

Email:

Phone:

Does this person speak English?

How long would you like to stay:

Earliest starting date:

Latest starting date:

Απαιτούνται 2 συστάσεις από μη συγγενικά πρόσωπα οι οποίες αφορούν ενασχόληση με παιδιά.

Παραδείγματα πρακτικής εμπειρίας που μπορούν να έχουν οι συμμετέχοντες: • Babysitting σε οικογένειες • Εργασία σε παιδότοπο • Εργασία σε παιδικό σταθμό • Πρακτική σπουδών • Ομαδάρχης σε κατασκήνωση • Ομαδάρχης σε προσκόπους • Ιδιαίτερα μαθήματα σε παιδιά • Εργασία με παιδιά σε προγράμματα εθελοντισμού • Μαθήματα γυμναστικής, μουσικής κ.α

Experience with children ages:

Newborn – 1 year
1 - 3 years
3 - 6 years
6 -9 years
9+ years
Children with disabilities

Willing to care for children ages:

Newborn – 1 year
1 - 3 years
3 - 6 years
6 -9 years
9+ years
Children with disabilities

Number of children (the more flexible you are the more options you will have):

I’m flexible
1 – 2 children
1 – 3 children
3 – 4 children
4+ children

Please describe all the ways in which you have gained your child care experience:

Au pair
Summer activity camp
Babysitting, full time
School teacher
Tutoring children
Day care center for children
Caring for younger family members
Youth or church group/club
Nanny
Babysitting, evening
Babysitting, daytime
Support school teacher
Coaching children’s sports
Teaching after school activities
Music teacher
Other*

*Please describe:

I have experience in these areas caring for children 0 – 2 years of age:

Preparing baby formula (milk)
Feeding a baby with a spoon/fork
Putting a baby to bed
Preparing baby food
Changing a diaper
Feeding a baby with a bottle
Bathing a baby
Burping a baby
Dealing with tantrums
Caring for a colicky baby

I have experience in these areas caring for children older than 2 years of age:

Giving baths and/or putting to bed
Teaching or tutoring
Doing arts and crafts projects
Playing outdoors
Dealing with tantrums
Assisting with homework
Involving kids in play and activities
Playing indoors
Potty training
Other*

*Please describe:

Do you have a driver’s license?

How long have you had a full driver’s license (including practical and theory test)?

My driving experience (Check all that apply)

50-100h
100-200h
200+h
By rain
By snow
By heavy wind
Country
City centre
Highway

Rate your driving skills:

Excellent
Good
Fair
Poor

How often do you drive?

Daily
Several times a week
Several times a month
Less often

Have you gone beyond secondary education?

Please describe the type of education you have beyond secondary school:

What is your current occupation?

Language Knowledge

English

Excellent
Good
Fair
Poor
None

French

Excellent
Good
Fair
Poor
None

German

Excellent
Good
Fair
Poor
None

Spanish

Excellent
Good
Fair
Poor
None

Other:

Do you have formal safety training or certificates (e.g. First Aid, water safety):

If yes, explain:

Describe your swimming skills:

Excellent
Good
Fair
Poor
I can’t swim

I have experience doing following household chores:

Cooking
Folding clothes
Light cleaning
Baking
Tidying up
Vacuuming
Ironing
Laundry

What are your hobbies?

Cinema
Travels
Reading
Theatre
Going out with friends
Walking
Camping
Museums
Dancing
Cooking
Photography
Writing
Sports
Gardening
Acting
Playing music
Singing
Going to the gym
Other*

If other, please explain:

What word best describes where you grew up?

Farm
Large city
Small city
Rural area
Suburban
Town/Village
Urban

What pets have you had or currently have?

Bird(s)
Cat(s)
Dog(s)
Fish
Other large outdoor pets (e.g Horses / Goats)
Reptiles/Amphibians
Small pets (e.g Hamster / Rabbit)
None

Currently living:

With my parents
On my own

Ages and names of siblings:

Father’s profession:

Mother’s profession:

Religion:

Do you attend church/temple?

Yes
No
On Special Occasions

Have you traveled outside your home country for 2 months or more?

Please give details:

Have you been convicted of or charged with a criminal offence?

Do you have chronic/recurring health problems (e.g. asthma, diabetes, depression)?

Do you have food allergies?

Do you follow a special diet?

If yes on any, please give details:

Do you have any condition that could affect your performance as an au pair:

If yes, please give details:

Would you accept a single parent family?

With a single mother
With a single father
No

Would you accept a family with pets?

If no which animal you don't accept:

Do you smoke?

If yes, cigarettes per day:

Do you agree to follow the host family’s rules for smoking?

Do you want to be in contact with other au pairs and do you agree that your email is given to other au pair participants?

Έχω διαβάσει και συμφωνώ με την πολιτική απορρήτου και τους όρους και τις προϋποθέσεις της Anixi.

Date *

Comment

Applicant Information - Step 1 of 9

Full Name *

First

Last

Email *

Confirm Email

Date of birth:

Phone

Best time to call:

Skype:

Do you have WhatsApp?

Do you have FaceTime?

I’m applying to be an au pair in:

Gender

Emergency Contact Name:

Relationship to you:

Email:

Phone:

Does this person speak English?

How long would you like to stay:

Earliest starting date:

Latest starting date:

Απαιτούνται 2 συστάσεις από μη συγγενικά πρόσωπα οι οποίες αφορούν ενασχόληση με παιδιά.

Experience with children ages:

Newborn – 1 year
1 - 3 years
3 - 6 years
6 -9 years
9+ years
Children with disabilities

Willing to care for children ages:

Newborn – 1 year
1 - 3 years
3 - 6 years
6 -9 years
9+ years
Children with disabilities

Number of children (the more flexible you are the more options you will have):

I’m flexible
1 – 2 children
1 – 3 children
3 – 4 children
4+ children

Please describe all the ways in which you have gained your child care experience:

Au pair
Summer activity camp
Babysitting, full time
School teacher
Tutoring children
Day care center for children
Caring for younger family members
Youth or church group/club
Nanny
Babysitting, evening
Babysitting, daytime
Support school teacher
Coaching children’s sports
Teaching after school activities
Music teacher
Other*

*Please describe:

I have experience in these areas caring for children 0 – 2 years of age:

Preparing baby formula (milk)
Feeding a baby with a spoon/fork
Putting a baby to bed
Preparing baby food
Changing a diaper
Feeding a baby with a bottle
Bathing a baby
Burping a baby
Dealing with tantrums
Caring for a colicky baby

I have experience in these areas caring for children older than 2 years of age:

Giving baths and/or putting to bed
Teaching or tutoring
Doing arts and crafts projects
Playing outdoors
Dealing with tantrums
Assisting with homework
Involving kids in play and activities
Playing indoors
Potty training
Other*

*Please describe:

Do you have a driver’s license?

How long have you had a full driver’s license (including practical and theory test)?

My driving experience (Check all that apply)

50-100h
100-200h
200+h
By rain
By snow
By heavy wind
Country
City centre
Highway

Rate your driving skills:

Excellent
Good
Fair
Poor

How often do you drive?

Daily
Several times a week
Several times a month
Less often

Have you gone beyond secondary education?

Please describe the type of education you have beyond secondary school:

What is your current occupation?

Language Knowledge

English

Excellent
Good
Fair
Poor
None

French

Excellent
Good
Fair
Poor
None

German

Excellent
Good
Fair
Poor
None

Spanish

Excellent
Good
Fair
Poor
None

Other:

Do you have formal safety training or certificates (e.g. First Aid, water safety):

If yes, explain:

Describe your swimming skills:

Excellent
Good
Fair
Poor
I can’t swim

I have experience doing following household chores:

Cooking
Folding clothes
Light cleaning
Baking
Tidying up
Vacuuming
Ironing
Laundry

What are your hobbies?

Cinema
Travels
Reading
Theatre
Going out with friends
Walking
Camping
Museums
Dancing
Cooking
Photography
Writing
Sports
Gardening
Acting
Playing music
Singing
Going to the gym
Other*

If other, please explain:

What word best describes where you grew up?

Farm
Large city
Small city
Rural area
Suburban
Town/Village
Urban

What pets have you had or currently have?

Bird(s)
Cat(s)
Dog(s)
Fish
Other large outdoor pets (e.g Horses / Goats)
Reptiles/Amphibians
Small pets (e.g Hamster / Rabbit)
None

Currently living:

With my parents
On my own

Ages and names of siblings:

Father’s profession:

Mother’s profession:

Religion:

Do you attend church/temple?

Yes
No
On Special Occasions

Have you traveled outside your home country for 2 months or more?

Please give details:

Have you been convicted of or charged with a criminal offence?

Do you have chronic/recurring health problems (e.g. asthma, diabetes, depression)?

Do you have food allergies?

Do you follow a special diet?

If yes on any, please give details:

Do you have any condition that could affect your performance as an au pair:

If yes, please give details:

Would you accept a single parent family?

With a single mother
With a single father
No

Would you accept a family with pets?

If no which animal you don't accept:

Do you smoke?

If yes, cigarettes per day:

Do you agree to follow the host family’s rules for smoking?

Do you want to be in contact with other au pairs and do you agree that your email is given to other au pair participants?

Έχω διαβάσει και συμφωνώ με την πολιτική απορρήτου και τους όρους και τις προϋποθέσεις της Anixi.

Date *

Website

Anixi Au Pair

Au Pair Application Form

Απαιτούνται 2 συστάσεις από μη συγγενικά πρόσωπα οι οποίες αφορούν ενασχόληση με παιδιά.

Language Knowledge

Απαιτούνται 2 συστάσεις από μη συγγενικά πρόσωπα οι οποίες αφορούν ενασχόληση με παιδιά.

Language Knowledge

Μέσα κοινωνικής δικτύωσης

Πιστοποίηση

Επικοινωνία