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Get Au Pair Recommendation Letter

Membership no Character Reference Office use only NAME OF APPLICANT AS IT APPEARS IN PASSPORT Last Name First Name Other Initials To be completed by character referee use black ink. Name of referee please print Profession Address Telephone Day Evening Mobile The Au Pair in America Interviewer or American host family may wish to telephone you to discuss this reference. Name of referee please print Profession Address Telephone Day Evening Mobile The Au Pair in America Interviewer or American host family may wish to telephone you to discuss this reference. Do you speak English Yes No Best time to call Are there any dates in the near future when you will not be contactable e.g. vacation Are you related to the applicant Yes relatives may not complete this form Please note References are checked and falsifying a reference may result in the applicant being withdrawn from the program. How long have you known the applicant How do you know the applicant How would you describe the applicant s personality and character To the best of your knowledge has the applicant ever been involved in any criminal offence Yes If yes give details Has the applicant any health or family problems Please give your opinion of the applicant s ability to handle new situations and possible stress culture shock etc. Please rate the applicant s qualities in the following areas 1 poor 2 below average 3 satisfactory 4 good 5 excellent Honesty Love of children Responsibility/Maturity Independence Punctuality Flexibility Communication skills Patience Would you recommend the applicant for placement as an au pair or companion in the USA Please give your reasons in as much detail as possible Please provide any additional information about the applicant which would be helpful to a prospective family Signature Date PLEASE RETURN TO THE APPLICANT ONCE COMPLETED. Membership no Character Reference Office use only NAME OF APPLICANT AS IT APPEARS IN PASSPORT Last Name First Name Other Initials To be completed by character referee use black ink. Name of referee please print Profession Address Telephone Day Evening Mobile The Au Pair in America Interviewer or American host family may wish to telephone you to discuss this reference.

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