Completes Nanny and Au-pair agency, children, baby, care, housekeeper, family, aupairs, childs, kid, kisd, school holidays, free time
Family application form
(for au-pair/nanny or housekeeper)
Firs name:
Partner's name:
Marriage status:
Full Address(please
including post code):
Names and ages of the
children:
Religion:
Ethnic Origin:
When do you need your
au-pair to start?
How long would you like
you au-pair to stay?
What is the main
language spoken in
your family:
Nationality preferred:
Age preferred:
Home telephone:
Work telephone:
Mobile:
Email address:
Applicants profession:
Spouse’s profession:
Home type:
House
Flat
Maisonette
Details of your home:
Do you have any pets?
Wold you be prepared to help with the cost of language course?
Yes NO
What knowledge of English is preferred?
Little Speaking
Fair Understanding
Good Reading
Fluent Writing
Do you require your au-pair to drive?
Yes NO Don't mind
Do you require a non smoker?
Yes NO Don't mind
Have you hade an au-pair before?
Yes NO
Would you consider a male au-pair?
Yes NO
How far is the:  
Bus stop (miles):
Train station (miles):
Town centre:
Language school (miles):
How much pocket
money per week?
How many hours per week?
If you need extra hours/flexibility.
How much pocket
money per hour
(this only applies for
nanny/housekeeper)?
Could you please indicate below- what days you would like your au-pair to work and roughly what hours they would be working each day?
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:
Please list the au-pair main duties:
Will the au-pair have her own bedroom?
Yes NO
Will she have her own bathroom?
Yes NO
Will she have her own television?
Yes NO
Will she have the use of car?
Yes NO
Will she have the use of phone?
Yes NO
Will you collect the au-pair/nanny from the station or airport?
Yes NO
Special requirements:
Now the form is fully completed please ensure that you have read and accept our terms of business and click on the "submit" button. Submitting this form indicates your acceptance of our terms and conditions.
 
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