Register your family with us.

Before completing this form, please ensure that you have read and understood our online information about having an au pair.

PERSONAL INFORMATION.

Mother's Name

Mother's Profession

Father's Name

Father's Profession

Marital Status *

Address *

Apt, suite, etc.

Country

City

State

Zip code

Number (Land line)

Number (cell)

Email *

ABOUT YOUR FAMILY HOME

Children's name, age and gender *

Is a baby expected?

Do any of the children have special needs?

Do any other person's live in your household?

Do you have pets?

Are there any other languages spoken at home ?

Where is your home situated? *

What is the nearest large city?

Where are the nearest shops?

Please write a short description of your home

What social, recreational or church activities are available?

Are you practicing Christians?

Yes

What is your regular place of worship?

How regularly do you attend?

Describe your own church and any other church options.

ABOUT YOUR AU PAIR

Ideal start date?

Please use Datepicker. Date Format is DD/MM/YY.

Is a driving licence required? *

Yes

Preferred

What are the principle duties you wish the au pair to cover? *

Please write a short description of the au pair's room.

Will the au pair be left in sole charge of infant children?

Are you registered with any other agencies?

Where did you hear about us?

Upload your family photo

Max file size 5MB

Important Information

We will keep your data on our computers for up to two years after which it will be erased. It will only be shown to applicants from our website. At any time you can ask us to delete your data.

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