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Form for Au Pairs

Form for Au Pairs
  • Contact details & Appearance
  • Family & Relationships
  • Appearances & Health
  • Religion & Eating habits
  • Education & Occupation & Personality
  • Hobbies & Time abroad & Pets
  • Skills & Experiences
  • Host family
  • Motivation & Expectations
  • Data privacy & Other information
Are you ...
Inbound means that you looking for a host family in Belgium. Outbound means that you are from Belgium and are looking to be an au pair elsewhere.
Are you a self-match?
Which country would you like to be an au pair in?

Personal details

As indicated in your passport
As indicated in your passport
Please be aware that you can only apply as an au pair if you are 25 years or younger. If you are 26 years old oder older you will not be able to submit this form.
Maximum upload size: 26.21MB
Maximum upload size: 26.21MB
Maximum upload size: 26.21MB
Maximum upload size: 26.21MB
Please enter your postal address where we can send documents like the au pair contract to.
If you share your what's app number with us you automatically consent that we may add you to what's app groups.
I hereby agree that I can be contacted via WhatsApp/Telegram
Enter your Email Address
Confirm your Email Address
Eight characters minimum One lowercase letter One uppercase letter One number One special character
When you register with our agency, you automatically create an account which allows you to update your profile. Please make a note of the password to log in later.

Rematching

Maximum upload size: 26.21MB
Maximum upload size: 26.21MB