Please complete this form with as many details as possible to enable us to find a suitable applicant.

 

YOUR GENERAL DETAILS
Family Name House no./name, Street
Town / City County / State  
Post/Zip Code Country
Daytime Tel. Evening Tel.
Fax No. Email
Mother's name Father's name 
Mother's nationality Father's nationality
Mother's occupation Father's occupation
Marital status Number of children
1st Child's Name 1st Child's date of birth
2nd Child's Name 2nd Child's date of birth
3rd Child's Name 3rd Child's date of birth
4th Child's Name 4th Child's date of birth
Ethnic Origin Religion
YOUR REQUIREMENTS
What language level does the au pair need? How long do you wish to engage an applicant
Earliest start date (DD/MM/YYYY) Latest start date (DD/MM/YYYY)
Age Preferred Will accept (male/female)
I have no preference as to where the au pair is from (subject to legal visa restrictions)
OR
I only wish to receive details of candidates with the following mother tongues / languages (please tick as appropriate):
English   French   Spanish   German   Portuguese
OR
I require an au pair from:
(Asterisked (*) countries do not have visa agreements with the United Kingdom.)
Is a car driver essential? Will the au pair have the use of a car?
Please give an indication of which days and the total weekly hours that the au pair will be required to work. (Tick boxes as appropriate.)
Monday Tuesday
Wednesday Thursday
Friday Saturday
Sunday
Hours per week Pocket money per week
Supplementary duties of the au pair (for children only)

Cooking 

Laundry

Ironing

Light housekeeping

Food shopping

Does anyone in the family smoke? May the au pair smoke?
HOME DETAILS
Is your home in a... Do you have a garden?
No. of bedrooms No. of bathrooms
Please confirm that the au pair will have their own room: Other facilities available to the au pair:
Do you employ any other domestic help? (If yes, please give details.) Details:
Do you have any pets? (If yes, please give details.) Details:
How far to the nearest shops? How far to the nearest bus stop?
How far to the nearest station? How far to the nearest language college?
OTHER ARRANGEMENTS

Are you prepared to contribute to the cost of a language course?

Will you collect the au pair from the station or airport?
Please write a letter of introduction to the prospective au pair (to include family background, hobbies, locality, and au pair job role).
Where did you hear about FrenchAuPairs.com?

CHARACTER REFERENCE
Please enter the name and email address of a former au pair, or acquaintance, who can supply us with a character reference.

Name:

Email address
PASSWORD
Please choose a password, to enable you to access your details on-line. (At least 6 characters, and no more than 12 characters. No spaces.)

Password

Verify password

ALTHOUGH EVERY CARE IS TAKEN BY FRENCHAUPAIRS.COM IN THE PREPARATION OF DETAILS OF APPLICANTS, AND THEY ARE SUBMITTED IN GOOD FAITH, BY SUBMITTING THIS FORM I UNDERSTAND THAT FRENCHAUPAIRS.COM CANNOT BE HELD RESPONSIBLE FOR THE ACCURACY OF THIS INFORMATION OR FOR ANY ACTION OF THE APPLICANTS ENGAGED THROUGH FRENCHAUPAIRS.COM.

I have read, understood, and will abide by the Terms and Conditions and Disclaimer of FrenchAuPairs.com and the charges contained therein.

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