APPLICATION FORM FOR FAMILIES...
Please tell us your first name:
Name of husband or partner:
What is your surname:
What is the surname of your husband or partner:
Nationality of family:
Home Address:
Home Telephone No:
Work Telephone No:
Mobile Number:
E-Mail:
Would you be able to submit a family photo:
Do you have a house, bungalow or flat:
How far do you live from the nearest shops:
How far do you live from the nearest bus stop or station:
Number of bedrooms:
Number of bathrooms:
Request for Au Pair, Au Pair Plus, Carer or Housekeeper:
Names of Children:
Age of Children:
Do you have a newborn due:
If so, when is your due date:
What are your childrens' personalities:
Do you or your children have medical conditions or allergies:
If so, please specify:
Religion:
Are you religious:
If English is not the main language spoken at home, please state:
If you work, what is your occupation:
What hours do you work:
What is your partner's occupation:
Please tell us the duties you would expect from your au pair:
Please give brief details of the duties expected:
Please state the hours you expect your au pair to work (be specific):
Please state the hours you expect your au pair to work on the weekends:
Monday to Friday the working hours are:
Saturday and Sunday the working hours are:
Extra hours or babysitting would be needed on:
When will the au pair have time for school and leisure:
What days will the au pair have off:
What kind of pets do you have:
Would you accept an au pair who smokes:
Do you need an au pair who drives:
If you need your au pair to drive, would she/he have access to a car in their own time:
What kind of car will she/he have access to:
Do you have other help in your home:(housekeeper, cleaner, etc.)
Please describe your au pair's accommodation(television, private or shared bathroom, desk, etc)
Would your au pair have access to a computer/Internet:
When do you require your au pair to start:
Minimum length of time you would consider employment:
How much pocket money would you be willing to provide to your au pair:
Will you be prepared to pay extra for extra hours your au pair may work:
Would you offer to pay for school or anything else:(example: gym membership or travel home)
Please tell us your family interests:
Please tell us of any nearby schools:
Please tell us of local places of interest:
What is your nearest airport:
When your au pair arrives would you pick her/him up or send a taxi:
Would you accept a male au pair: