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Au Pair Application Form Guide

The document is an Au Pair application form that collects personal, contact, family, education, language, hobbies, childcare experience, general questions, work experience, and health information from applicants. It also includes sections for a letter to the host family and photo submissions. The form is designed for individuals seeking to participate in an exchange program in China.

Uploaded by

Hana Hocine
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© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
14 views7 pages

Au Pair Application Form Guide

The document is an Au Pair application form that collects personal, contact, family, education, language, hobbies, childcare experience, general questions, work experience, and health information from applicants. It also includes sections for a letter to the host family and photo submissions. The form is designed for individuals seeking to participate in an exchange program in China.

Uploaded by

Hana Hocine
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Au Pair Application Form 互惠生申请表

Dates 日期 Photo 照片

Erliest arriving date 最早赴华时间

Latest arriving date 最晚赴华时间

Length of Stay(3-12months) 互惠周期

Basic Infomation 基本信息

First Name 名字

Last Name 姓氏

Full Name 全名

Male/Female 性别

Date of Birth(month/day/year)
出生年月

Place of Birth 出身地

Nationality 国籍

Religion 宗教信仰

Passport No. 护照

Married/Single/Divorced/Separated 感情状态

Do you have a driver's license?(Yes/No) 你有驾照吗？

Height& Weight (cm& kg)身高/体重

Contact Info
Phone at home/work (National code +area
code +number) if available
Mobile (National code +area code +number)
Email(essential)
Instant Messenger: Facebook: WeChat:

The Best Time to Contact you?


Address
Postal Code
City
Country

Family Info （家庭介绍）

Family Simple Introduction Father's name 父亲姓名

家庭成员介绍 Father's job 父亲工作

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Mother's name 母亲姓名

Mother's job 母亲工作

Are you currently living with your


parents? 是否和父母住？
Do you have any siblings?(If yes, specify Brothers 兄弟

the number and age) 你有兄弟姐妹吗？


Sisters 姐妹

Education(From high school to current education background)教育背景

Name of the
Education 学历 Starting year Finishing year
major 专业 school/university/colle
(qualification ) 开始于 毕业于
ge 学校名称

Language 语言

Mother Tongue 母语
Chinese level 中文水平
(Zero/Beginner/Intermediate/Advanced)

Other languages(and level) 其他语言


Hobbies & Interests 兴趣爱好
Describe your hobbies 兴趣爱好

Which sports do you like? 你喜欢什么运动？


Childcare Experience 照顾孩子的经验
Do you have any experience with
children? 是否有带孩子经验
If yes, please specify the age group and the experience 如有，请注明年龄组别及经验

General Questions 一般的问题


Do you smoke? 是否吸烟？
Would you mind the host family
members smoking at home? 是否介意家
庭成员吸烟？

Can you swim? 你会游泳吗？


Do you like pets? 你喜欢宠物吗？
Are you allergic to animals?你对动物过
敏吗？
What food are you allergic to?你对什

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么食物过敏？
Do you eat pork?你吃猪肉吗？
Do you have any work experience?
(If yes, please specify) 是否有工作经验

Work experience 工作经验

Name of working place Working period of time position


工作地点 工作期限 职位

What do you do at present?目前在做什


么？
How is your health?你的身体状况怎么样？
Good 良好/Bad 不好
Can you provide a Medical
Certificate (within 6 months)?
是否可以提供 6 个月体检报告？
Do you have any physical or
medical disabilities? (If yes, please
specify) 你有身体上或医学上的残疾吗?(如有，请注
明)
Do you take medications regularly?
(If yes, please specify) 你定期吃药吗?(如
有，请注明)
Dear family letter 写给家庭的信
Write a letter to your future host family below: 在下面给你未来的寄宿家庭写一封信:

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tofriend Au Pair
Pictures 照片
Please paste 5-7pictures on this page, including one passport photo，Two pictures of you alone
and some photos with your family, friends and children(Kind of like student style and more
nature of your pictures is better, coz Chinese families most of them are traditional, especially
they hopes their kids can get some good habits and anything from you which is role-model)请在
本页粘贴 5-7 张照片，包括一张护照照，两张你自己的照片和一些你和家人、朋友和孩子的照片

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tofriend Au Pair

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