Au Pair Application

Thank you for submitting an application. Welcome Home will review your application and reach out to you if and when we have a relevant host family that matches your profile. Reminder- Welcome Home is FREE for Au Pairs!

Name *

E-mail *

Agency & ID#: *

Age *

Nationality *

Languages Spoken *

What is your English language level? *

Are you a first match, extension, or rematch Au Pair? *

If rematch or extension, what is the primary reason for switching families?

For rematch or extension, please provide host family name + contact info

Current location *

Date available *

Planned return home date (as of now) *

What are the top 3-5 things you want in a host family OTHER than being treated like a family member (be specific NOW if you have things that matter to you- eg geography, # of kids, ages)? *

What are your dealbreakers (family, schedule, living characteristics you are NOT willing to work with)? Be honest please! *

Check all that you use (even if just on occasion) *

Please list any preferences you have regarding host family religion, demographics, diet/ eating habits, or other considerations: on how the family lives *

Any medical conditions or history we should know about? *

Have you ever lived alone? *

What do you like to do in your free time? *

Do you have a university degree or advanced degree (MBA, PhD, etc) and what did you study? *

Which best describes your interest in duration as an Au Pair? *

What do you aspire to do after your time as an Au Pair? *

Max # of host kids you are open to caring for *

Are you willing to adhere to a 10pm curfew Sunday - Thursday evenings, prior to weekday AMs? *

What weekly stipend do you expect? *

Ideal location (City, State, US Area) *

Things you want from your host family that would mean a lot to you (including perks) *

Do you have a record of safe driving (e.g. > 2 years, proof of no accidents)? *

Do you have a US drivers license? *

Are you comfortable with dogs? *

Are you COVID/ TDAP/ Flu vaccinated, and/or willing to be vaccinated? *

Are you Infant Qualified (by your agency)? *

Describe your experience caring for children 6-10 years of age (provide specific details who you cared for, what your responsbilities were, etc) *

Describe your experience working with multiple young children at the same time. *

Will you enjoy swimming with young children regularly (and are you a skilled swimmer yourself)? *

Would you describe your personality as more INTROVERTED or EXTROVERTED? *

Do you have extensive highway driving experience (e.g., drive on a highway on a weekly basis for at least the last year?) *

Do you have experience driving and parking in cities (including parallel parking)? *

Are you comfortable with cats? *

On a scale of 1 -10, how would you rate your cooking skills? (1 = microwave only, 5= can cook once shown how 8 = can cook a variety of meals from scratch, including raw meat 10 = skilled chef) *

On a scale of 1-10, how much do you ENJOY cooking for yourself and for kids? (1 = kinda hate it, 5 = its fine 8= prefer cooking over other tasks 10 = cant wait to cook every day) *

Which best describes your birth order within your immediate family? *

Are you a male or female? *

Please share the URL link to your agency profile and video below *