Family Registration

You might find it helpful to read pages 'What is an Au Pair?' & 'Tips for Family Registration'
Do call or email us at anytime if you need help or advice.

The fields marked with * are required.

What is Your Full Name? *

Email Address *

Mobile Phone Number *

Home Phone Number *

House number *
Street *
Town *
County
Post Code *

---

Candidate required: *

Au Pair (25hrs & 2 eve babysitting) Au Pair Plus (30-35hrs & 2 eve b'sitting) Mother's Help Help me decide

Gender of Candidate: *

Prefer Female Prefer Male No preference Help me decide

Do you need a Driver? *

No, Driving is Not Necessary Yes, Occassional Driving Required Yes, Daily Driving Required Not necessary but would be nice

Weekly money offered (£) *

Or help me decideYes

When would you like the Candidate to start? *

Date:

How much time flexibililty in the Start Date?

When should the Candidate stay until? *

Date:

How much time flexibililty in the End Date?

(Higher level of pocket money may help attract more experienced/capable Candidate) Reminder: Au Pair min. £70 p/w & Au Pair Plus min. £85 p/w

---

Minimum Level of English necessary:

Basic Satisfactory Good Fluent

Would you accept a smoker? *

No Yes if they are the best candidate Yes if only outside & away from children Yes if only evenings, socially

Please give detailed description of duties *

(you will be able to provide more details on a supplementary questionnaire which we will send you after Registration)

Names, Ages & Genders of children *

Name Age Gender Male Female MaleFemale MaleFemale MaleFemale MaleFemale MaleFemale MaleFemale MaleFemale

Any disabled children?

Yes No

---

Do you have any pets? *
No Pets Yes in Home Yes, but kept Outside the Home
Will you have additional domestic help? Tick all which apply *
Cleaner Nanny Help with Ironing Gardener Dog walker Housekeeper Other
If Other, please explain:
Please describe your location *
Rural Village Town City
Describe family home
Apartment Maisonette Terraced House Semi-Detached House Detached House Other
Number of bedrooms 2 3 4 5 6+
Number of bathrooms 1 2 3 4+
If live-in, please describe Candidate's accommodation *
Own room Own room, sharing bathroom with children Own room & Own bathroom Separate Accommodation Separate Accommodation with own bathroom & kitchen facilities We would prefer the candidate to live out

Mother's Occupation

Currently Working? *

No Yes Part time Work from home

Father's Occupation

Currently Working? *

No Yes Part time Work from home

Marital Status Married Co-habiting Single Parent Divorced/Separated Widowed

---

Are you already registered with any other Childcare Agencies? Or searching yourself through the internet? (sites like gumtree?) Kindly explain. *

Please tell us how you heard about us. *

Yes, I have understood and accept the Terms and Conditions * Please tick box

Security code Reload Image Verify code