Registration Form For Family Seeking An Au Pair

Registration Form For Families Seeking Au Pair / Au Pair Plus

Are you a family looking for a Au Pair? Please fill in our online form

Name:
Address:

County:
Post Code:
Daytime Phone No:
Evening Phone No:
Mobile No:
E-mail Address:
Husband Occupation:
Husband Hours Of Work:
Husband Nationality:
Husband Religion:
Wife Occupation:
Wife Hours Of Work:
Wife Nationality:
Wife Religion:
How Many Children:
Names and Ages of Children:
Is A New Baby Expected?
If Yes When?
Type Of Home:
Number and Type of Rooms:	Reception: Bedrooms: Bathrooms: Toilets:
Other rooms:
Garden:
Family Pets:
Family Interests:
Should the au pairs parents require a reference, please give name and address of someone who has known you personally for at least the last 2 years
Name:
Address
How Did You Hear About Richmond & Twickenham?
Location Details:
How Far Is the Nearest:
Public Transport:
Town:
Shops:
English Classes:
Place Of Interest:
Au Pair Details:
Required Number Of Months:
From:
To:
Do You Need A Female Au Pair?
Preferred Nationalities:	(Please leave blank if no preference)
Do You Need A Au Pair or Au Pair Plus
Car Driver
Non Smoker:
Would You Accept A Smoker Who Is Happy To Smoke Outside?
Other Preferences(if any):
Pocket Money To Be Paid:
Free Days:
Will The Au Pair Be Treated As A Memeber Of The Family, Joining You For Meals And Aslo The Evenings ETC?
Treated As A Member Of The Family:
Au Pairs Accommodation:
Own television:
Bicycle
Car:
Please state how you would expect your au-pair to spend a typical day, remembering that she will not be expected to work for more than 5 hours a day and must be allowed time off during school hours to attend English classes.
Rise At:
Morning Duties:
Morning Duties 2:
Lunch At:
Afternoon Duties:
Afternoon Duties 2
I have received, read and agree to your Accounts and Business terms.

Call: 01283 538 921

karen@aupairsnationwide.co.uk

Au Pair And Nanny Agency