Au Pair Checklist

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Au Pair Checklist

151 East 6100 South, Suite 200 Murray, Utah 84107 801.255.7782 www.GoAuPair.com

The Au Pair Application Package is designed to meet the requirements of the US Department of State and the needs of Host Families. The US Department of State requirements are defined in the U. S. Department of State Au Pair Program Regulations. The additional information requested is based on Go Au Pair’s experience in the market and information requested by the Host Families that they feel is helpful in determining which Au Pair to select.

Doc ID.

Document Name

Description/Comments

Completed By

Form Provided by Go Au Pair

APS-010

Au Pair Checklist

Checklist of all items required to complete the au pair application

International Representative

Yes

APS-020

Au Pair Instruction Sheet

Simple checklist of all the items needed

Au Pair

Yes

APS-050

Au Pair Application Form

Au Pair

Yes

APS-070

Under 2 Verification Form

Au Pair

Yes

APS-080

Au Pair Passport Photos

APS-090

Au Pair Letter to Host Family

APS-100

Au Pair Picture Collage

APS-110

School Diploma/Certificates Copy

Form documenting the au pairs profile, One page documenting each experience with a child under the age of two and how many hours of experience Standard size photo used in your country or by the US Embassy Hand written letter to a host family describing the personal feelings of the au pair, why they want to be an au pair. Best opportunity for au pair to “sell” themselves Collection of personal photos selected by the au pair. This is another opportunity for the au pair to “sell” themselves Copies of their high school, and/or university diploma, all certificates of merit, and any additional certifications

APS-120

Driver's License - Copy

Au Pair

APS-121

International Driver's License - Copy

APS-130

Passport - Copy

APS-160

Au Pair Psychometric Exam

Copy of home country driver’s license Copy of International Driver’s license (Required to drive in US, optional as part of the application package) Copy of passport. Ensure passport number is clearly shown Instructions will be provided by Go Au Pair to complete this online test.

APS-170

Au Pair Hartman Personality Profile

APS-310

Au Pair

Au Pair

Au Pair

Au Pair

Au Pair Au Pair Au Pair

Yes

Written test used to provide the HF with some insight into the au pair’s personality

Au Pair

Yes

Au Pair Agreement

Defines agreement between au pair and Go Au Pair

Au Pair

Yes

APS-410

Physician's Health Report

Needed to ensure candidate is physically fit

Physician

Yes

APS-420

Criminal Report

Government

APS-430

Child Care Reference #1

APS-431

Child Care Reference #2

Original government report and translated version Reference (not a relative) for whom au pair provided child care services Reference (not a relative) for whom au pair provided child care services

APS-440

Au Pair Character Reference

APS-460

Au Pair Interview

General reference (not a relative) Form used to document the in-person interview conducted in English typically lasting 2 hours

APS-470

Training Verification

APS-480

Completion Security Deposit and Insurance Form

Reference

Yes

Reference

Yes

Reference International Representative

Yes

Must be taken with the DVD training course and completed prior to matching

Au Pair

Yes

To be completed at the time of match

Au Pair

Yes

Yes