Our au-pairs come to Ireland on English language study programmes for 2 - 12 months. Please tell us how long you would like to be an au-pair and when you can start.
No of months* 2 3 4 5 6 7 8 9 10 11 12
Start date* January February March April May June July August September October November December
Please fill in this section carefully so that we have all your details. *obligatory
Name*
Family name*
Address:*
Date of Birth*
Mobile phone number
Home phone number
Email*
Confirm Email*
Nationality*
Mother tongue(s)*
Occupation/studies*
Next of kin name*
Next of kin mobile*
Our au-pairs must attend 3-6 hours of English classes per week on either two mornings (Mondays and Wednesdays OR Tuesdays and Thursdays 10.00-13.15) OR two evenings (Mondays and Wednesdays OR Tuesdays and Thursdays 17.30-19.00 or 19.00-20.30. Please tell us about your current English level and why you need to improve it.
What is your current level of English?* (If you are not sure, you can test your English here) A1.1 Beginner A1.2 Elementary A2.1 Pre-Intermediate A2.2 KET B1.1 Intermediate B1.2 PET B2.1 Upper-Intermediate B2.2 FCE C1.1 Advanced C1.2 CAE
Tell us about your previous English studies here*
Tell us why you want to improve your English here*
Our au-pairs stay with families in Dundalk and in other towns in Co Louth, Co Meath and Co Monaghan. Dundalk is one hour from Dublin and one hour from Belfast.
Mark the activities you are interested in*. football television reading basketball cinema travelling tennis theatre water sports cycling music video games swimming IT photography golf clubbing horse-riding walking dancing art Please give details of any other hobbies and interests you or your family have here:
Do you have any physical disabilities or special needs we need to tell your host family about?* YES NO If YES, give details here.
Do you have allergies?* YES NO If YES, give details here.
Are there any foods you can’t eat or really don’t like eating?* YES NO If YES, give details here.
Is it ok if your host family has pets?* YES NO If NO, give details here.
Do you smoke?* YES NO If YES, give details here.
Do you have a full driver’s license?* YES NO If YES, how long have you had it?
You need to bring a European Health Insurance card or the equivalent in your country with you when you come to Ireland. If you don’t have it, you will have to pay for medical treatment here.
Do you have a European Health Insurance Card?* YES NO
Our au-pairs look after their host family children for 20-30 hours per week. They receive pocket money from their host family plus food and accommodation. Under Irish law, host families must pay their au-pairs minimum wage (€11.30 per hour) and can deduct approximately €1 per hour worked for food and €25 per week for accommodation. An au-pair who works 30 hours per week will receive €285, an au-pair who works 25 hours per week will receive €235 and an au-pair who works 20 hours a week will receive €180. Please tell us about your experience.
Do you have babysitting experience?* YES NO If YES, give details here
Have you ever looked after a baby before?* YES NO If YES, give details here
Is it ok if your host family has a baby?* YES NO If NO, give details here
What is your preferred age range of children?* 0-4 years old 4-8 years old 8-12 years old I don’t mind
Please tell us anything else you want to about yourself here.
I have read the terms and conditions of the au-pair study programme*
info@thelanguageplace.ie
2 jocelyn place, dundalk, co louth, ireland
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