APPLICATION FORM - MOTHER'S HELP

First Name: *
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Surname: *
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Address: *
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Postcode: *
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Country: *
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Nationality: *
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Native language(s): *
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Date of Birth:
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Sex:
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Marital Status: *
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Age: *
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E-mail: *
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Mobile Phone: *
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Education attained: *
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Specialization:
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What is your current job/study? *
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Courses and Training:
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Do you have completed first aid course (Red Cross)? *
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Do you have a driving licence? *
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Are you prepared to drive a car in UK if this family reguire?
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*How long have you been studing English? *
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Foreign language(s) spoken:
English language: *
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French language: *
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German language: *
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Italian language: *
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Spanish language: *
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Other language:
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Please write hobbies and interests you do in your leisure time:
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Desired country:
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Area (Not guaranted):
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What position are you seeking: *










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Salary expected:
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Do you wish to attend English courses:
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How long would you like to stay? *
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Earliest available start date: *
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My preferences: Children age groups *




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Number of children:


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Care for child with special needs (disabled)?
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Are you prepared to travel with the family?
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Are you prepared to work in a family with pets?
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Are there any animals the family must not have? *
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If yes, give details:
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Can you swim?
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Can you play any musical instrument?
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I have experience with child aged: *





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Have you experience with child with special needs (disabled)?
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My experience/skills: *














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Number of children and ages: *
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My experience with children: *
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Duration
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Have you 1 year of fulltime work experience in a childcare and would like to upgrade to a Mother´s Help? *
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My household experience/skills:
Assisting with cooking
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Cooking meals for children
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Vacuuming and dusting
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Tidying up
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Washing dishes
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Ironing
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Laundry
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Baking
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Shopping
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Bed making/Folding clothes
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Gardening
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Walking pets
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Please supply any special request you may have:
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Will you accept an household assisting?
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Have you worked abroad before?
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If yes, give details:
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Where did you hear about our agency?
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Upload your photo:
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CONFIRMATION: *
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* Required field.