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CHI Au Pair USA Interview Report NAME OF CANDIDATE INTERVIEW METHOD (Tick Box) NAME OF INTERVIEWER NAME OF AU PAIR AGENCY

In person


By Webcam


Date ____ / ____ / ____

(mm/dd/yyyy)

EVALUATION OF A CANDIDATE (Rating on a scale of “1-6” where “6” is the highest)

Criteria Flexible/Adaptable Independent/Mature Motivated Responsible Co-operative Initiative Sensitive Clean and Tidy Common Sense Firm Language

Definition

Rating

Able to fit into family life, to understand the ‘give and take’ of the relationship Able to make a life in a new culture and environment, to exist without dependence on her/his own family Has a clear objective about what she/he wishes to achieve from the au pair experience in the context of her/his longer-term plans Acts with maturity, understands the need to be accountable for work carried out Able to follow clear instructions about how to manage children, duties, rules of the house, etc Thinks about what needs to be done in various situations that might arise and can act without instruction if necessary Understands and respects both the family’s and children’s needs Regarding both her/his own room and the rest of the house Has a practical view about what to do Able to gain respect from children in order to exercise the necessary control according to family guidelines Able to speak the language of the host country, at least at a basic conversational level

EVALUATION OF A CANDIDATE’S INTERVIEW ATTITUTE (Rating on a scale of “1-6” where “6” is the highest)

Outgoing Cheerful Confident

Open-minded Patient Easy-going

Reserved Warm Nervous

Talkative Modest Polite

Serious

EVALUATION OF A CANDIDATE’S LANGUAGE ABILITY (Rating on a scale of “1-9” where “9” is the highest)

Listening

Speaking

Reading

Writing

WHAT TYPE OF FAMILY WOULD SUIT THIS CANDIDATE? (Tick all the relevant boxes)

Children ranging from 2-6 years Children aged from 10+ years Children ranging from 6-10 years Infants raging 1-2 years Infants raging 0-1 years Twins Any Ages Maximum numbers of children in the family Educare family Mother’s helper

Working parents requiring an independent au pair Family wanting an au pair to be part of the family Family in a small town/ rural area Family in a big city Very active family with sports interests Family with wide range of interests Family with many social interests Family with special needs children Family who requires a driver Family who doesn’t need a driver

PLEASE ADD ANY ADDITIONAL COMMENTS THAT MIGHT HELP PLACE THIS AU PAIR

Signature of Interviewer: __________________________________________