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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.
    Are you a citizen of a European (EU) country?

    Maximum file size: 1MB

    Maximum file size: 1MB

    Maximum file size: 1MB

    Maximum file size: 1MB

    Maximum file 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
    cancel1 check1 Eight characters minimum cancel1 check1 One lowercase letter cancel1 check1 One uppercase letter cancel1 check1 One number cancel1 check1 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 file size: 1MB

    Maximum file size: 1MB