Au Pair : Application Form  
     
  Part 1 : General Information  
     
 
First Name : Last Name: Nick Name :
             
Date of Birth :
calendar
   Sex : Status :
             
Address :    
             
Phone Number:
  E-mail :
   
             
Part 2 : Education, Experience &Extra Skills          
             
Education : From :
   
             
Major :
  Year :    
             
Current Working at:
Position :
   
             
Current Salary :
  From ค.ส. To ค.ส.
             
Extra Skill :    
             
 
     
 

Part 3 : General Question

  
     
 
1. Have you ever participate in a J-1 Program before? Year :
Program :
  Others :
             
2. Have you been to the U.S. before?   If yes please explain :
3. Do you have valid driver’s license? If yes please explain :
4. Do you have any allergies or health problems?   If yes please explain :
5. Have your visa ever been rejected from the U.S. Embassy? If yes please explain :
6. Why do you want to join a J-1 Program as an Au Pair?   If yes please explain :
7. Do you have childcare experience? If yes please explain :

8. Question about the program?