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(photocopy this form)Please ask each employer to fill in a separate form.Please type or write clearly on this form using black ink.Name of Applicant ________________________________________________________________________Relationship to Applicant ___________________________________________________________________How long have you known the Applicant? ______________________________________________________Please indicate the Applicant s ability in the following areas:Communication skillsq Excellentq Goodq Fairq PoorReliabilityq Excellentq Goodq Fairq PoorWork qualityq Excellentq Goodq Fairq PoorMaturityq Excellentq Goodq Fairq PoorFriendlinessq Excellentq Goodq Fairq PoorMannersq Excellentq Goodq Fairq PoorAttitudeq Excellentq Goodq Fairq PoorGroomingq Excellentq Goodq Fairq PoorAbility to handle stressq Excellentq Goodq Fairq PoorAbility to handle emergenciesq Excellentq Goodq Fairq PoorAbility to work with othersq Excellentq Goodq Fairq PoorPlease list any strengths and/or weaknesses of the Applicant ____________________________________________________________________________________________________________________________________________________________________________________________________________________Please describe the Applicants personality __________________________________________________________________________________________________________________________________________________________________________________________________________________________________Name of person completing the form __________________________________________________________ (Please print)Street Address ___________________________________________________________________________ City/State/Country ________________________________________________________________________Postal code __________________________________ Relationship to Applicant ______________________Telephone ___________________________________ Best time to call _____________________________Signature ____________________________________ Date ______________________________________AU PAIR AGREEMENT FORMgoAUPAIR FILENAME \p C:\Dokumente und Einstellungen\maria\Lokale Einstellungen\Temporary Internet Files\OLK84\A4 - Au Pair Character Referencejcr.docLCM 01-25-01Page  PAGE 2 of 2AU PAIR CHARACTER REFERENCE INCLUDEPICTURE "cid:210295108@15042004-095B" \* MERGEFORMATINET  FILENAME A4 - Au Pair Character Referencejcr.doc28-10-03Page  PAGE 1 of  NUMPAGES 1'(  ;<N\vNOQRTUWXZpqt}~ ǰǰǰǡׅr\+hLfh]CJ OJQJ^JmHnHsHu$hLfh]CJ OJQJ^JmHsHjh]CJ OJQJU^Jh]CJ OJQJ^Jh]5CJ OJQJ\^Jjh]Uh]6CJOJQJ]^Jh]h]CJOJQJ^Jh]CJ OJQJ^Jh]CJOJQJ^Jh]B*CJOJQJ^Jph$Z'(  0 !0$If]0!00]0^0!00@&]0^0gd]! & F !L0`0 !0^0!^`gd]N0 J Z j z $!:$If]^:a$$!$If]^a$z | SD.$!$If]^a$!0$If]0kd$$Ifl4r0 4$ 0`'64 laf4 'kd$$Ifl4r0 4$ 0`'64 laf4$!$If]^a$$!:$If]^:a$  $ 4 D $!:$If]^:a$$!$If]^a$!0$If]0D F X r SD.$!$If]^a$!0$If]0kd$$Ifl4r0 4$ 0`'64 laf4r 'kdF$$Ifl4r0 4$ 0`'64 laf4$!$If]^a$$!:$If]^:a$  $!:$If]^:a$$!$If]^a$!0$If]0  4 SD.$!$If]^a$!0$If]0kd$$Ifl4r0 4$ 0`'64 laf44 D T d f 'kd$$Ifl4r0 4$ 0`'64 laf4$!$If]^a$$!:$If]^:a$f x $!:$If]^:a$$!$If]^a$!0$If]0 SD.$!$If]^a$!0$If]0kd$$Ifl4r0 4$ 0`'64 laf4  " 'kdN$$Ifl4r0 4$ 0`'64 laf4$!$If]^a$$!:$If]^:a$" T n ~ $!:$If]^:a$$!$If]^a$!0$If]0 SD.$!$If]^a$!0$If]0kd$$Ifl4r0 4$ 0`'64 laf4 &('kd$$Ifl4r0 4$ 0`'64 laf4$!$If]^a$$!:$If]^:a$(`z$!:$If]^:a$$!$If]^a$!0$If]0;SE/!00dh@&]0^0gd]!00]0^0kd$$Ifl4r0 4$ 0`'64 laf4;<N\w12NPQS!00]0^0!00]0^0!00@&]0^0gd] !0]0dh!00dh]0^0STVWYZqrst}zppp $If^0^0jkdV$$Ifl4&' 6Pi0'4 laf4$$i&P#$/Ifa$ !"()*+14567STUVἰp^pGp8h]5CJ OJQJ\^J,j h]B*CJOJQJU^JaJph#h]B*CJOJQJ^JaJph,jh]B*CJOJQJU^JaJphh]OJQJ^J h]CJh]CJOJQJ^Jh]5CJOJQJ^Jh]CJOJQJ^Jh]!h]CJ OJQJ^JmHnHujh]CJ OJQJU^Jh]CJ OJQJ^J$hLfh]CJ OJQJ^JmHsH123456}{iX$i&P#$/IfK$$$i&P#$/Ifa$skd $$Ifl4 00$0 `'64 laf4$$If]a$67STU4%$i&P#$/Ifckd! $IfK$L$l404 laf4$IfK$`kd $IfK$L$lH C 0 4 laU\ZXNNA$$If]a$ $If^kd$$Ifl4F&  ]   6Pi0'    4 laf4$$i&P#$/Ifa$h]CJOJQJ^J!h]CJ OJQJ^JmHnHuh]CJ OJQJ^Jjh]CJ OJQJU^Jh]y!00]0^0skd$$Ifl4 00#0 &64 laf4+ 0&P 1h. 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