Please read the Au Pair Terms and Conditions prior to completing this form. AU PAIR REGISTRATION MANDATORY CRITERIAIn order to be an Au Pair in Australia, you must meet the following 2 criteria: CRITERIA 1.The Australian Working Holiday Visa (subclass 417) and the work and holiday visa (subclass 462) requires all applicants (except NZ citizens) to be between 18 to 30 years old at the time of application. No visa requirements are required for Australian citizens:Please confirm you meet this requirement (required).YesNoAustralian citizenCRITERIA 2.The above visas are only available to passport holder from certain countries. Please select your country - if your country is not listed you do not meet the requirements and can not apply. (required):ArgentinaAustraliaBangladeshBelgiumCanadaChileChina, People's Republic ofDenmarkEstoniaFinlandFranceGermanyHong KongHungaryIndonesiaIsraelItalyJapanLuxembourgMalaysiaMaltaNetherlandsNew ZealandNorwayPeruPolandPortugalRepublic of CyprusRepublic of IrelandRepublic of KoreaSan MarinoSingaporeSlovak RepublicSlovaniaSpainSwedenTaiwanThailandTurkeyUnited Kingdom.UruguayUSAVietnam If you did not meet BOTH of the above criteria please do not continue. YOUR DETAILSYour first name (required) Your last name (required) Address (required) Your Email (required) Phone number (required) YOUR PROFILEDate of birth (required) Nationality (required) Which language/s do you speak? (required) What is your preferred date for commencing as an Au Pair? (required) Which age range of children would you like to work with? (required) What are your interests? (required) Why would you like to be an Au Pair in Australia? (required) EXPERIENCEIf you have any formal childcare or teaching qualifications, please provide (required) Experience with children - please include paid and voluntary experience (required) TASKSI can assist with:Light housework and ironingYesNoShopping errandsYesNoCaring for petsYesNoLooking after disabled childrenYesNoHomeworkYesNoENVIRONMENTI will work for smokersYesNoI will work for people with petsYesNoTRANSPORTDo you have a valid driver's licenceYesNoIf yes, is your driver's licence full (not provisional)YesNoNAIf yes, have you had any driving offencesYesNoNAOTHER INFORMATIONIs there anything you'd like to add? ACCEPTANCEPlease add your full name and the current date to indicate you have read and agree to the Au Pair Terms and Conditions (required).I, [please insert your full name] agree to the Terms and Conditions (required).Date