Demi-Pair Application 1 Student Details2 Experience3 Agreement & DeclarationPlease read 'ABC of Demi Pairs' carefully before starting filling in the application form.ABC of Demi Pairs - EnglishABC of Demi Pairs - FrenchABC of Demi Pairs - ItalianABC of Demi Pairs - SpanishABC of Demi Pairs - Korean Please prepare supporting documents below which you need to attach in this application. A one-page letter, including photos, about yourself to your future host familyA CV/Resume including any experience you have, if any, with childrenStudent DetailsName First Last Date of Birth GenderFemaleMaleNationality----------AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweEmail Phone numberMessenger (for interview)SkypeWhatsappKakao TalkLineMessenger IDAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Do you smoke?NoYesSocial smoking away from homeHave you lived alone before?NoYesDriving licence?NoYesAre you scared of Dogs CatsAny Special Diet?NoVegetarianVeganGluten/Wheat FreeDairy FreeMedical Problems which affects others*NoYesIf yes, specify:Any visible Piercings – ear Piercings – other TattoosAllergies? Dogs Cats BirdsExperienceHousework and cooking experience* Cooking – Basic (Chopping vegetables/fruit, frying egg, scramble eggs, boiling pot of pasta/rice, making a salad/sandwiches, heating meals in oven/microwave)* Cooking – Moderate (Simple meals for example pasta with sauce/ stir fry’s/ macaroni and cheese, meat and vegetables, tacos, fried rice, soups)* Cooking – Good (Able to prepare most meals with recipe unassisted) Breakfast preparation Prepare lunchboxes Dinner preparation Cooking – No experience Cooking – Basic Cooking – Moderate Cooking – Good Cleaning kitchen after meals Stacking/unstacking dishwasher Washing clothes Hanging clothes out to dry Folding clothes Ironing clothes Packing clothes away Dusting Vacuuming Mopping Tidying Cleaning Bathrooms and Toilets Helping in the garden Watering plants Looking after petsChildcare Changing nappies Feeding bottle Babysitting – evenings Picking up children from school Helping children with homework Bathing children Getting children ready for bed Putting children to bed Stacking/unstacking dishwasher Washing clothes Hanging clothes out to dry Looking after/playing with children – supervised Looking after/playing with children – unsupervisedActivities I can do with children Lego Puzzles Dancing Singing Drawing/Painting Imaginary play Playing with Dolls Playing with cars Playing with figures Computer games Swimming Outside play Soccer Basketball Cricket Tennis Music Art Roleplay TrampolineI like Sport activities Books Theatre Art Music Singing Dancing Movies The beach Swimming Bike riding Soccer Basketball Tennis Cricket Rugby Running Going to the gym Going to the park Picnics Bushwalks Nature Fishing Boating Camping Eating out Meeting family/friends Shopping Going out Animals Gardening Cooking Computer gamesAre you prepared to learn tasks that you are no experienced with?YesNoEducation and WorkFinished HighschoolAt universityFinished universityWorking full timeWorking part timeNot studyingNot workingHave you got experience with children Babies (up to 1 year) Toddles (1-3 years) Pre-schoolers (3-5 years) Children 5-12 years TeenagersCan you swimYesNoI amActive – veryActive – moderateActive – not veryEnglish courseStart Date Finish Date VisaWorking HolidayStudentLetter to your host family and CVLetter to your Host FamilyOne page letter, including photos, about yourself to your future host familyAccepted file types: doc, pdf.CV/ResumeCV/Resume including any experience you have, if any, with childrenAccepted file types: doc, pdf.AgreementAgreement 1. I confirm that I have answered all questions truthfully and all the information on my application is correct. I understand that it is my responsibility to notify Priceless Exchange should any changes occur before my placement. I also understand that if I am found to have falsified any information my placement will be terminated immediately. 2. I understand that Priceless Exchange is matching me with the Host Family based on the information I have supplied in my application. 3. I have read AND understood the Family Profile Form of the Family I am about to join. I am aware that I am responsible for the works outlined and the children on the Family Profile form. 4. I confirm that I have the abilities needed to fulfil the work outlined in the Family Profile Form AND that I can look after the children. I understand, that if I don't have the skills required fulfilling the duties as a Demi-Pair at my Host Family, Priceless Exchange can terminate my placement without the right of any refund of the Demi Pair Placement fee. This includes my abilities and experiences undertaking all household and childcare duties. 5. I confirm to understand that I when I agree to join a Family I am legally bound to a 12 week placement (unless otherwise stated). 6. I agree to carry out the work outlined in the Family Profile Form with diligence. I understand that my Host family expects me to show initiative and expects me to be generally fun to be around. 7. I agree to keep my room and bathroom neat and tidy and make fair contributions to keep the common areas neat and tidy, even outside my scheduled working hours. I understand that even on weekends when I have no scheduled working time my family expects me to help with dishes should I be home for meals. 8. All of our families are aware of our 50% housework and 50% childcare policy HOWEVER in cases where the Demi-Pair’s abilities do not match the Host Families requirements, this policy may be altered by the Host Family. 9. If my English proves to be insufficient to look after children or if I don't have the skills to look after the Host Family’s children, the Host Family can ask me to make up these hours with housework. 10. I agree to abide all the house rules set out by my Host Family. I understand that it is my responsibility to talk about usage of internet, electricity and water with my Host Family and have to abide to their limits. I understand that the Host Family can ask me to pay for careless usage of internet, electricity and water. 11. I agree to behave in a manner which does not offend my Host Family at any time. 12. I agree to seek advice of the Host Family should I have any challenges with the children in any form. Under no circumstances shall I hit the children. 13. When I mind children, I will never leave them out of my sight. 14. I understand that before offering the children any treats or before letting they play games on either the computer or phone, I need to discuss it with my Host Family. 15. I shall seek advice and written permission from my Host Family before administering any medication to the children. 16. I shall discuss with my Host Family any arrangements for holidays or additional days off at least 2 weeks in advance. I understand that I need my Host Families permission to have extra days off. 17. I shall not undertake any other paid work employment during my stay with the Host Family, unless agreed by my Host Family and allowed under the term of my visa. 18. I understand that my Host Family has to provide me with breakfast, lunch and dinner. Meals and portions sizes are different in every family. My family should provide food for one more adult, to their standard. Should the food provided be not enough for me, I understand that I am responsible for all extra food including snacks. 19. I agree to cover all costs and debt incurred by me while staying with the family. This includes any gadgets and injuries. 20. I agree to leave my room clean after my placement and understand that I will need to cover all costs involved with cleaning of my room should I leave it dirty. A cleaning fee off AU$100 will be charged and paid if I fail to clean my room and bathroom. 21. If I have any problems, challenges or questions, which cannot be discussed with my Host Family, I will contact Priceless Exchange for assistance. I agree to do my best to solve the situation as suggested by Priceless Exchange. 22. I understand that Priceless Exchange must agree to me leaving the Host Family. Should I do so anyway, I will be liable for any expenses the Family may have. These costs might be paying for a cleaner or babysitter for the family until my placement term is up, or until Priceless Exchange has found a suitable replacement. 23. I understand that Priceless Exchange can only place me with a new Family if my first Family gives a good reference. 24. Should I request to be placed with another Family, I understand that it may take time and I understand that Priceless Exchange is not liable or will not take any responsibility for my accommodation cost before the placement with the new Family. 25. I understand that I am covered by Liability and Damage Insurance through Priceless Exchange. This insurance can be accessed by contacting Priceless Exchange and a $250 excess is paid. 26. I understand that going out and coming home late during the week is disruptive to a family’s life and should be reduced to the weekends only. I understand that coming home intoxicated is not acceptable. 27. I have read and understood the Document - ABC for Demi Pairs 28. There are certain situations that will and can’t be accepted in the western culture and living in a family. Should any of the following circumstances occur, the placement will be terminated immediately: i. Lying to the Host Family. If a Host Family finds their Demi pair lying, their trust will be gone and a family trusts a demi pair with their home and children. ii. Intruding the family’s privacy. This includes taking and posting photos/videos on social media without the family’s permission. iii. Hitting a child or leaving a child unattended. A child’s safety is the most important things in Australia and it is against the law to leave them unattended or to hit them. iv. Being intoxicated in front of the family or before looking after children. v. Arriving home late on a regular basis, this means more than 3 times. vi. Seeking paid work that clashes with the Demi Pair Schedules hours. vii. Inviting friends to the host families home without permission from the Host Family If a Demi Pair is asked to leave their Host family because of any of the above situation, the Demi Pair is liable and responsible for the transport and new accommodation and placement with another family will not be possible. No refund will be offered.DeclarationDeclaration I have read, understood and agree to the Demi Pair Agreement. I have answered all questions in my Application truthfully.NameDate CommentsThis field is for validation purposes and should be left unchanged.
