Which language would like to learn while you are au pair in Belgium ?
What is your native language ?
What is your language level ?
General health information
Are you healthy
Do you take any medicines ?
Do you have any allergies ?
Do you smoke?
Do you have childcare experience with ?
Please state what type of childcare experience you have
Do you have experience with disabled children ?
Is there any group of children you are not comfortable with ?
Do you have any siblings ?
Number of brothers ( and their ages )
Number of sisters ( and their ages )
Have you ever lived away from your home ?
What are your current household duties ?
What is your religion ?
Do you practice your religion ?
Are you open for other religions ?
Do you follow any food prescriptions ?
Please list your hobbies ?
Do you play any instrument ?
How would you describe yourself ( 1 lowest - 10 highest )
Are you able to/willing to ?
Work for a single parent family
Bring the children to and from school
Do light housework
Make the beds
Wash and iron clothes
Shop for food
Take care of pets
Bring your own cell phone
Bring your own laptop
Up to what extent are you willing to pay your flight tickets to and from Belgium ?
Please write further information about yourself
Do you allow Au Pair Belgium to publish your application forms on an anonymous basis on its website ?
Declares that all answers given by him/her in this form are correct and true, and agrees that any uncorrect or untrue answer will lead to a cancellation of his/her au pair program in Belgium which implies that the Au Pair Candidate will pay or reimburse his/her all flight tickets from his/her home country to Belgium as well as the return flight ticket back to his/her home country and any other cost born by his/her host family with respect to his/her placement as au pair in their family, and agrees to abide by the Belgian applicable au pair legislation.