Au pair placement information

Requested start date

Length of stay

Are you willing to accept a male au pair?

Do you accept an au pair who smokes?

(Yes, No, Yes, if she refrains from smoking in the house and while looking after the children)

Should your au pair hold a driving licence?

Would you like your au pair to drive? If yes, are you willing to pay for driving lessons to assist your au pair in becoming familiar with driving in the UK? Please note that you will be responsible for insuring your au pair to drive.

Your location

Please describe where you live – the size of the house and it’s facilities (e.g. swimming pool, tennis court etc) Please also describe local amenities and, if you in a rural location, public transport facilities.

How far from your home is the nearest language school? How would the au pair get there? What does it charge?

Personal details

Surname  

First name  

Wife’s/husband’s/partner’s name  

Address  

Post Code, City  

Country  

Home telephone number  

Host mother's office number  

Host father's office number  

Fax number (private or office)  

E mail address  

Children (names, age, gender)  

Who is legally responsible for your children?  

Other persons living with you (surname, name, relation, date of birth)  

Do you regularly attend religious services?  

Do you have disabled children?  

Please describe your children’s interests, hobbies and usual routine. This assists in matching an au pair to your preferred requirements

Smoking

Do you smoke?  

If so, how many cigarettes do you smoke per day?  

What would your expectations be with regard to an au pair and smoking?

The au pair

What do you expect of an au pair? If you have children what do they expect of an au pair? What do you expect the au pair’s daily routine to be?

Are there other aspects of your family life which should be given consideration (e.g., vegetarian diet) ?

Have you had an au pair before? If so briefly describe what the experience was like.

Do you have hired household help? If so, how often does he/she help you?

Pets

Do you have any pets?

If so, which animals do you have?

Do you want the au pair to care for them? 

Special Skills 

Should your au pair have any special skills (e.g., swimming or riding) ? If so, which ones?

Host father’s daily schedule

Please describe your occupation, normal working hours and your usual holiday arrangements

Host mother's daily schedule

Please describe your occupation, normal working hours and your usual holiday arrangements

Children’s daily schedule

Please describe your children’s daily program.