Type of appliction: *
First name: * Surname:
Male or Female: Mr. Miss
Date of birth: *
E-mail: *
Mobile: *
Telephone:
FACEBOOK:

Skype Address:

Postal Address:

*

Post Code:

*

Country:

*

Marital status:

*

Passport #:

Nearest airport:

Hobbies & interest:

Fluency in English:

* Other languages:

Last school:

*

Present occupation:

*
What do your friends and family think about you being an au pair?

Earliest date of arrival:

*

Length of stay:

*

Do you have any preferred ages of children you would like to take care of?

Have you ever been an au pair?

* If yes, provide some information:
How did you hear about this program? *
How do you plan to spend your leisure time here in China? *
Describe yourself briefly.(pls include your personality etc.): *
Why do you want to join this program? *
What are your future plans? *
Other:
Verification Code: *

 

 

Qingdao Au pair Cultural Exchange Co. Ltd.,
Address: Room 806,First Office of Silver Building,
Liaoning Road - Shibei District,
Qingdao City - Shandong Province,China.
Contact: Ellen Peng. Cell phone: 0086-13001690831
Office Phone: 0086-532-85953378 / 85950965
E-mail:
aupair-marketing@hotmail.com

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