Au-Pair South London
Au-Pair South London Au-Pair South London

If you have any questions, please dont hesitate to email: larahaupairsagency@gmail.com


Our Contact Details

Family Form

Please complete the application form below to enable us to match the right candidate for you. If you do not have a reply from us within 48 hours please give us a call on 01932 341704 to confirm we have received your completed form. We have compatibility issues with Yahoo and AOL email addresses so if possible please use an alternate email address to Yahoo or AOL. Fields marked with * are required but please look to complete as much of the form below as possible.

TO SEND US YOUR PHOTOS PLEASE DO THE FOLLOWING WHEN USING THE FORM BELOW: If you wish to send us any images along with the completed enquiry form you MUST insert them into a Word document (DOC/DOCX) or a PDF and attach using the “Choose File” button at the bottom of the form below.

Date au-pair / mothers help required *

Length of employment *

FAMILY DETAILS

Family name *

First line of address *

Home phone *

Town *

Mobile *

Postcode *

Email *

Skype name *

PARENT DETAILS

Mothers name

Mothers occupation

Is mother working?

Mothers work no

Mothers nationality

Mothers age range

Partners name

Partners occupation

Partners age range

Partners work no

Partners nationality

 

CHILD/REN DETAILS

Name of child 1

Sex

D.O.B

Age range

Name of child 2

Sex

D.O.B

Age range

Name of child 3

Sex

D.O.B

Age range

Name of child 4

Sex

D.O.B

Age range

Baby due?

WEEKLY SCHEDULE (IF CHILDREN AT SCHOOL OR NURSERY)

Mondays timetable

Tuesdays timetable

Wednesdays timetable

Thursdays timetable

Fridays timetable

HOUSEHOLD DETAILS

Language spoken / other languages spoken

Interests/hobbies

Religion

Practising

Pets

Duties assisting with pets

FAMILY ACCOMMODATION DETAILS

Location of house

Type of house

Number of bedrooms

Bathrooms

Receptions

Central heating

Washing machine

Dishwasher

Nearest town/name?

Where is the nearest language school?

Nearest bus?

Where is the nearest airport?

Train?

AU-PAIR/MOTHERS HELP ACCOMMODATION DETAILS

Own Bathroom

Own Bedroom

Will they have their own separate accommodation? Give details.

AU-PAIR/MOTHERS HELP DETAILS

Do you require an au-pair or mothers help?

Have you had an au-pair / mothers help before?

Would you accept male / female?

Is smoking permitted in the house?

Is smoking allowed?

What hours will the au-pair / mothers help work?

Do you require a driver?

Petrol each week?

Can the au-pair / mothers help have own use of car?

Are there any members of the family with special needs?

Describe duties required including housework

What days will au-pair / mothers help have off?

No of nights babysitting required?

How much pocket money / salary (weekly)?
(A small amount of NI sometimes has to be paid plus tax)

Will you provide a bike or car for the au-pair / mothers help?

Total weekly hours?

Will you collect the au-pair on their arrival or pay for alternative transport?

OTHER DETAILS

How did you hear about our agency?

 
Please supply any further information that you consider necessary for us to find you the right au-pair / mothers help

Please state any risk to the health and or safety of the au-pair whilst in your employ *
(Examples of health risk would include infectious diseases and the like, while risk to safety would include home under construction ie. risk of injury) * DTI required

If already registered with other agencies or through internet please kindly explain

SEND US AN ATTACHMENT (PDF/DOC/DOCX/TXT)

TERMS AND CONDITIONS ACCEPTANCE

I / we agree to the terms and conditions

SECURITY