APPLY ONLINE

FIRST NAME

SECOND NAME

DATE OF BIRTH (yy-mm-day)

MALE OR FEMALEMALEFEMALE

ADDRESS IN FRANCE

ZIP / CODE

SKYPE ID

PHONE NUMBER

YOUR EMAIL

NATIONALITY

MOTHER TONGUE

LANGUAGE SPOKEN

LANGUAGE SPOKEN

EU citizenStudentResidentWorking holidayVie privée et familialeWorkingNo Visa

ARE YOU CURRENTLY LIVING IN FRANCE?

YesNo

WHEN DO YOU PLAN ON ARRIVING?(approximately)

UNTIL WHEN DO YOU PLAN TO STAY IN FRANCE?*

I HAVE EXPERIENCE WITH CHILDREN AGED

3 to 6 years old6 to 9 years old9 to 12 years old

AVAILABILITIES

MONDAY

FROM

TO

TUESDAY

FROM

TO

WEDNESDAY

FROM

TO

THURSDAY

FROM

TO

FRIDAY

FROM

TO

SATURDAY

FROM

TO

SUNDAY

FROM

TO

COULD YOU KINDLY SHARE WITH US SOME INFORMATION ABOUT YOUR CHILDCARE WORK HISTORY?

HOW DID YOU HEAR ABOUT US?