Host Family Form 申请互惠家庭信息表
e-mail address for contact with this applicant 电子邮件 |
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Father 父 亲 |
Mother 母 亲 |
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First Name 名 |
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First Name 名 |
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Family name 姓 |
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Family name姓 |
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Age 年 龄 |
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Age 年 龄 |
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Occupation 职 业 |
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Occupation 职 业 |
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Nationality 国 家 |
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Nationality 国 家 |
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Telephone at home 家庭电话 |
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Telephone at work
工作电话 |
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Fax
传 真 |
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Address
家庭住址 |
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City
城 市 |
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ZIP code
邮 编 |
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Our housing situation 家庭住宅情况 |
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Number of rooms
房间数 |
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exclusive kitchen and bathroom 不包括厨房和卫生间 |
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Separate room for au pair? 能提供独立的房间给互惠生吗? |
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Our family consists of Members 家庭成员数量 |
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We have children 孩子数量 |
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Age child 1 孩子年龄 |
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attending school or kindergarten? 上学还是幼儿园? |
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daughter/son 女儿/儿子 |
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Age child 2 孩子年龄 |
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attending school or kindergarten? 上学还是幼儿园? |
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daughter/son 女儿/儿子 |
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Does your family travel frequently?
家庭经常外出旅游吗? |
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Will the au pair travel with the family? 希望互惠生同行吗? |
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Are there any pets in the family? 家庭里有宠物吗? |
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If yes, specify 如果有,何种宠物? |
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Have you employed an au pair before? 家庭曾经接待过互惠生吗? |
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If yes, which year? 如果有,哪年? |
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If yes, from which country? 互惠生来自哪个国家? |
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For how long? 多长时间? |
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Weekly working hours 每周工作小时数 |
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Daily working hours 每天工作小时数 |
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Monthly salary 每月支付互惠生零用钱数额 |
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Preferred au pair F/M 希望互惠生是女生/男生 |
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Required knowledge of language 希望互惠生母语 |
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Other language knowledge 对互惠生的其它语种要求 |
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Mother language in family 家庭所用语言 |
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Will the family cover the costs of language
school? 家庭支付互惠生语言学费吗? |
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Is driving licence required? 互惠生必须持有驾照吗? |
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Will the au pair have the use of a car? 互惠生可以使用家庭汽车吗? |
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Are there any smokers in the family? 家庭成员有吸烟者吗? |
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Preferred country of origin for au pair 希望互惠生来自哪个国家? |
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For how long? 多长时间? |
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Brief profile of the family 家庭简介 |
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