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Member ID: Nationality:  
Looking For Position:   Other Position:  
Live In Position:   Live Out Position:  
Country:   Town:  
Date of Birth: 01/1970 (Age 42) County:  
Height:   Weight:  
Status:   Religion:  
Last Login: 01/01/1970 Member Since: 01/01/1970
Preferred Start: 01/01/1970 Length Of Stay: Months
Preferred Countries:   Preferred Location:  
Child Ages Preferred:   Child Experience:  
First Aid Certificate:   Childcare Certificate:  

Dear Family Letter
 
Criminal Record:   Police Check Available:  
Visa And/Or Permit:   Insurance:  
Medical Certificate:   Interested In A Placement As A Couple:  
Attend Language Classes:   Pay For The Lessons:  
Will You Practice Your Religion:   Will Consider Family Not From Host Country:  
In The UK Now:  
Countries Lived In:  
Languages Spoken:  
Been An Au Pair/Nanny etc Before:  
Currently Employed:  
Hobbies And Interests:  
Reasons For Becoming An Au Pair/Nanny etc:  
Do You Smoke:   How Many Per Day:  
Will Not Smoke In House Or In Front Of Children:  
Prepared To Live With A Family Who Smoke:  
Any Dietary Requirements:  
Have Any Allergies:   Any Physical Conditions:  
Regularly Take Medication:  
Have Pets At Home:   Pet Allergy Or Phobia:  
Prepared to Care For Pets:  
Driving Licence:   Will Drive:  
Period Licence Held:   Regularly Do You Drive:
International Drive Permit:   Regular Driver:  
Give Details Of Any Car Accidents:  
Duties You Are Prepared To Undertake:  
Prepared To Look After Child With Disabilities:  
Father's Occupation:  
Mother's Occupation:  
Brother's And Sister's Ages And Occupations: