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UK Family Application Form

We have been serving au pairs and host families for more than a decade, so to say Thank You, we are waiving our placement fee as from today.

In other words, you need pay NOTHING if you apply now!  

CLICK HERE for Terms & Conditions
 
FAMILY DETAILS

Title : Mr & Mrs     Mrs        Ms        Mr        Dr.
Marital Status : Couple           Single Mother           Single Father
Family Name :
Names, Sexes & Ages of children (Please tell us if you are expecting a new baby)
Do you or your children have any special medical requirements or dietary restrictions ?
Do any other family members live with you?
Are there any smokers at home? Yes       No
CONTACT DETAILS
Telephone :

Day Time

Evening
Mobile :
Email :
Address :
 

MOTHER'S DETAILS
Nationality
Occupation

FATHER'S DETAILS
Nationality
Occupation

HOME & LOCATION DETAILS
Where do you live? Very Rural Area
Rural Area
Quiet Residential
Busy Residential
Big Town/City, Main Road
Please give details of any pets at home:

AU PAIR DETAILS
Would you consider a male au pair? Yes    No
For how long do you intend  to host the au pair?
When do you need the au pair?

Do you need a driver? Yes, it is essential   
It is preferred    
Not important
Do you require a non smoker? Yes, S(he) must be a non smoker     
S(he) can smoke outside     
Not important
 
WORK DETAILS
What is the au pair's main responsibility? Childcare only
Mostly childcare, some housework
50% childcare, 50% housework
Mostly housework, some childcare
Housework only
Total Working Hours A Week hours a week
Weekly salary offered £ a week
  
Further Details
Please provide any additional information you feel necessary in processing your application :
   


I confirm that I will give notice of two weeks if I decide to terminate the employment of my au-pair. However, I reserve the right to discharge the au-pair in the case of serious misconduct on their part.

I UNDERSTAND THAT THE AGENCY CANNOT BE HELD RESPONSIBLE FOR ANY ACTIONS OF THE AU PAIRS ENGAGED THROUGH THE AGENCY OR  THE ACCURACY OF THE INFORMATION REGARDING MY AU PAIR, ALTHOUGH ALL CARE IS TAKEN TO ENSURE THAT THE APPLICATIONS REFLECT THE TRUTH.

I have read and agreed to the terms & conditions of business.


 

 

 

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