Registration form for オペアs [example]



Applicant information

◇ Name.....First Name, Last Name (Surname): Anne オペア

◇ Email Address : oooo@oooo.ooo

◇ Enter Email Address Again to Confirm : oooo@oooo.ooo

◇ Gender:female   

◇ Age:23   

◇ Birthday (yy/mm/dd/):1985-09-25

◇ nationality:Australian

◇ ethnicity: Caucasian

◇ I Hold a Valid Passport For:Australia

◇ I live in..... (country) and (city):Australia, Cairns

◇ Primary Telephone Number : +61 7-1111-oooo   

◇ Secondary Telephone Number : +61 7-1234-oooo   

◇ I am available to start an オペア from (yyyy/mm/dd/): 2009/01/02

◇ The maximum that I can stay in JAPAN as an オペア: 12 months

◇ My native language, and others that I can speak: English, Japanese, Spanish

◇ My Japanese ability is:high

◇ I have worked as an Aupair(オペア) before:No

◇ Previous childcare experience: (ex: 1000 hours, 2years / total / as a volunteer ) 2000 hours, 3years / babysitter

◇ I have experience in childcare of children 2 years old or less:YES

◇ I hold a child care certificate for kindergarten or nursery school:NO

◇ I hold nurse or first aid certificate:YES

◇ Age range of the children I would like to look after: 2~5years old

◇ The last school education:high school

◇ Do you smoke?:NO

◇ Do you have a Valid Driver's License?:YES

◇ My Health Is:excellent

◇ I Have First-Aid Training:YES

◇ Religion/Spiritual Practice:Christian

◇ I accept a single parent family:YES

◇ Are You Married?:NO

◇ The reason why I want to stay in Japan as an Aupair(オペア)(Q:Why do you want to stay in Japan as an Aupair? ):
I am highly interested in everything Japanese, mostly culture, language, history and way of life. I want to be an Au-Pair there to improve my Japanese skills.

◇ Message to family (preferably written in Japanese) :
I am highly interested in everything Japanese, mostly culture, language, history and way of life. I want to be an Au-Pair there to improve my Japanese skills. I have been learning Japanese for a year and a half now and would like to teach your children English and/or Spanish. I am experienced with child care (my little brother is eleven years younger than me) and like to be outside in nature. I will take care for children of all ages. I do not smoke. I eat meat, but no fish.

◇ How Did You Hear About World Au Pair in JAPAN?: Google

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