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Application : Medical Technical SmallBusiness AuPair Programmers Taiwan OtherCountries

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Position Desired:
Specialty:
Current Location:
Availability date:
Nationality:
Languages:
Interview Availability:

EDUCATION:
College:

Continuing Education:

CERTIFICATIONS/SEMINARS:

WORK EXPERIENCE:

Indicate Country of Experience as an AuPair:

Employer	Location	Date of Employment	# of Kids	Age of Kids	Indicate Comments About This Job

REFERENCES (minimum of 3; click here for sample format):

Comment/Note To The Interviewer:
Use this section to indicate any information you are unable to provide above.

******* Foreign Applicant Only ********

VISA AVAILABLE:

	Yes	No
US Visa			If Yes, enter expiration date:
Other Visa			If Yes, specify:
Other Visa			Expiration Date:
Have you ever been sponsored by a family member?			If Yes, by whom:
Have you ever been sponsored by a family member?			When:
Have you ever been sponsored by a company?			If Yes, what company:
Have you ever been sponsored by a company?			When: