S.C.

EUROLIFE CONSULTING SRL

COTROCENI BUSINESS CENTER, B-dul Iuliu Maniu nr.7 ,Corp T ,Birou B2, Etaj 2
!ail"wt@eurolife-consulting.ro
###.uroli$-%on&ultin'.ro
Tel/Fax : 0213108369 / 0722923!1/ 07!791161!



REGISTRATION FOR AU-PAIRS
What country do you want to go to? England
What is the earliest date you can start? Anytime
What is the latest date you can start? Anytime
How long do you want to stay for? 6 month 8 month 12 month 24 month
x x
E!"#$A% &E'A(%"

%ast name) *ercel +irst name) Alexandru
,ale)
x
+emale)

Address)
"os- Alexandria nr- 24 .l-*/0 et- 110 a2- 420 sector 30 4ucuresti0 !omania
'ele2hone num.er at home 5including area code6) 741/24468939
'ele2hone num.er at wor: 5including area code6)
,o.ile num.er) 741/24468939
Email address) alexandru-cercel;yahoo-com
*$) 1891911431138
*()
ass2ort $um.er)
&ate and 2lace of
issue)
19-19-21180 "ectia 19 olitie
4ucuresti
Ex2iry &ate) 19-19-2118
&ate of .irth) 11-19-1989 lace of .irth) 4ucuresti
$ationality !omanian !eligion)
Height) 1-82 Weight) /8 :g
*olour of hair) dar:<haired *olour of eyes) .rown
&o you ha=e any =isi.le .ody 2iercing or tattoos? (f so0
where and what?
$o
&o you regularly attend religious ser=ices?
>es $o x
+athers name and
2rofession)
*ercel ,arian0 ,echanic ,others name
and 2rofession)
*ercel ?eorgeta0 *omercial wor:er
$um.er of 4rothers) Age)
$um.er of "isters) 1 Age) 22

E&@*A'(#$
High "chool $ame) 'echnical *ollege ?rigore *ercheA
%ocation) 4ucuresti rofile) ,athematics<com2uter science
&ate from) 13-19-2114 &ate to) 11-16-2118
@ni=ersity $ame) "2iru Haret
%ocation) 4ucuresti +aculty $ame) ,ar:eting si Afaceri Economice
(nternationale
&ate from) 11-11-2118 &ate to) 13-16-2111
&o you want to ta:e any language or educational
courses in the host country? $o x >es BBBBBBBBBBBB-
&o you ha=e :nowledge of first aid or life<sa=ing?
(f so0 do you ha=e any certificates? $o x >es BBBBBBBBBBBB-
Ha=e you ta:en any courses relating to childcare?
(f so0 what? $o x >es BBBBBBBBBBBB-
%A$?@A?E"
What is your mother tongue?
!omanianBBBBBBBBBBBBBBBBB
&o you s2ea: English?
$o >es x
(s your English) +luent ?ood A=erage 4asic oor
x
&o you s2ea: any other languages?
$o x >es
lease list languages s2o:en and le=el of
com2etence)
16BBBBBBBBBBBB
+luent ?ood A=erage 4asic oor

26BBBBBBBBBBBB
+luent ?ood A=erage 4asic oor

86BBBBBBBBBBBB
+luent ?ood A=erage 4asic oor

*H(%&*A!E ECE!(E$*E A$& !ED@E"'"
What ex2erience do you ha=e with children? $one
What ages do you ha=e ex2erience of? 1<2 2<6 6<11 11<14 14<18

What age do you 2refer to care for?
x x x
Would you li:e to .e 2laced with a family with 1 2 8 4 #=er 4
x x
Are you willing to care for a disa.led child?
$o x >es
&o you ha=e any ex2erience of caring for a disa.led
child?
(f so0 what ex2erience do you ha=e?
$o x >es BBBBBBBBBBBB---
Would you acce2t a family without children?
$o >es x
Would you hel2 with a new .orn if the mother is
2resent? $o >es x
Would you hel2 to loo: after the elderly?
$o >es x
&#,E"'(* ECE!(E$*E
*an you coo:?
$o >es x
*an you do washing and ironing?
$o >es x
*an you =acuum and dust?
$o >es x
Are you 2re2ared to hel2 with light domestic wor:?
5,ost families reEuire this6
$o >es x
E'"
&o you li:e 2ets?
$o >es x
Are you ha22y to li=e in a family who ha=e 2ets?
$o >es x
(f so0 would you hel2 to loo: after them?
$o >es x
Are you allergic to any animals?
$o x >es
Are there any animals you do not li:e?
$o x >es --------------------------------------------------
HEA%'H
&o you ha=e any allergies?
$o x >es --------------------------------------------------
Are you in good health?
(f no0 2lease ex2lain)
>es x $o --------------------------------------------------
H#44(E"0 "#!'" A$& "E*(A% "F(%%"
What are your ho..ies?
(f yes0 2lease ex2lain)
4ody.uilding0 com2uter
gamesBBBBBBBBBBBBBBBB
&o you 2artici2ate in any s2orts?
(f yes0 2lease ex2lain)
,artial arts and
foot.allBBBBBBBBBBBBBBBBBBBB
*an you swim?
$o x >es --------------------------------------------------
&o you ha=e a .ac:ground in music or dance?
$o x >es --------------------------------------------------
&o you 2lay any musical instruments?
$o x >es --------------------------------------------------
&o you ha=e any s2ecial s:ills0 such as horse<riding0
sailing etc?
$o x >es --------------------------------------------------
&!(G($?
&o you ha=e a current dri=ing licence?
When did you get your licence?
$o >es x---(n 2119--------------------------------------
&o you dri=e regularly? &aily #nce a wee: #ccasionally
x
Are you 2re2ared to dri=e in the host country once you
get to :now the area?
$o >es x
",#F($?
&o you smo:e?
(f so0 how many 2er day?
$o x >es --------------------------------------------------
*ould you refrain from smo:ing in the familyHs house or
in front of the children?
$o >es
A!EA !E+E!E$*E" A$& "E*(A% !ED@E"'"
Would you 2refer to .e in aBB--? cityItown =illageIcountryside any area
x
(f we cannot find you a family in that area0 would
you .e 2re2ared to consider other areas?
$o >es x
Would you acce2t one<2arent family?
(f yes0 2lease s2ecify- $o >es x 0 mother father
Are you willing to wor: with families of all ethic and
religious .ac:grounds?
$o >es x
'!AGE% ECE!(E$*E
Ha=e you tra=elled to any other countries .efore?
(f yes0 2lease s2ecify-
$o x >es --------BBBBBBBBBB--
Ha=e you li=ed away from home .efore?
(f yes0 2lease s2ecify for how long-
$o >es x 1 year--BBBBBBBBB--
Ha=e you .een to the host country .efore?
+or what 2ur2ose?
$o x >es tourist for wor: au<2air

&o you ha=e a .oyfriendIgirlfriend?
$o >es x ?irlfriendBBBBB--
(f yes0 does heIshe agree on you .eing an au 2air?
$o >es x
Why do you want to .e an au 2air and why ha=e you chosen the host country?
'he main reason is to .e close to my girlfriend0 .ecause she wor:s in England and i thin: it would .e a
great ex2erience to see and learn different things and meet other 2eo2le in England
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB--
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB--
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB--
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB--
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB--
( *#$+(!, that ( ha=e understood all Euestions0 answered them honestly and all information in the a22lication is
true- 4y sending it to "-*- E@!#%(+E *#$"@%'($? "!% ( declare my intention of .ecoming an au<2air and (
a22ly for the Au<air rogram 2resented to me .y "-*- E@!#%(+E *#$"@%'($? "!%- ( declare that ( will 2ro=ide
5send6 the other documents reEuested .y "-*- E@!#%(+E *#$"@%'($? "!% to com2lete my a22lication
documentsJ ( will res2ect all the terms and deadlines esta.lished together-
"ignature &ate 11-14-2118