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If you would like more information about our programs please visit our Download page for relevant documents.

The form below can be used by interested candidates looking to participate in aupair or nanny programs. On receipt of this pre-application form, a representative from JCR will make contact with you and arrange to send you more information or to interview you. Alternatively, email us for more information.

 

  * indicates a Required Field

Privacy Policy:

JCR Australia/NZ will not sell, trade or rent any personally identifiable information obtained from you, to a third party.

Name and Surname: *
Address:
What program would you like more information about?

 
What country is your first choice?
Please list any other countries of interest:
Where are you from?
Telephone No: *
(Please include Country and/or State code)
When is the best time to call you?  *
Email:  *
Do you check your emails  *
Age:
Gender:


Date of Birth dd/mm/yy:
Do you have a current passport?
Nationality of passport:
Completed 12 years secondary education?
Driver's license?
Are you a smoker?
Are you currently a student?
Are you mother tongue English?
What other languages if any do you have knowledge of?
Briefly detail your experience in your choice of program:
How long are you able to commit to?
Preferred month of placement?
How did you find us?
If other, please specify:
Human Test *
Please fill in the words that appear in the box to the right. Note: If you are visually impaired please click the audio challenge.