Aupair Interactive

Aupair Interactive Aupair Interactive info@aupairinteractive.com

Adres Woonplaats , Provincie , postcode Nederlands

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Inschrijven als au pair

Host family application form

First name
Name
Nationality
Gender
Require au pair from (country)

Requested start date
Length of stay

Particulars and expectations - Host family

Name(Contact person)
Postal Address
Postal code / City
Land

Contact host family

Telephone Number home
Telephone Number work
Mobile
Fax number
E-mail

Information Father

Occupation(Host father)
Date of birth(Host father) / / Nationality (Host father)

Information Mother

Occupation(Host Mother)
Date of birth(Host Mother) / / Nationality (Host Mother)

Children (Description of all your children)

Religion
Do you have pets? Yes No
Hobbies

Primary language spoken in the home

Other language/languages spoken by family members
Number of rooms in the house
Number of bathrooms
Is there any domestic help? Yes No
Have you ever had an au pair before? Yes No
Do you have children with a disability? (If so, please provide additional information on an extra sheet.) Yes No
Do you smoke? Yes No
Will you accept an au pair who smokes? Yes No
Should the au pair have any special skills (i.e. ability to swim or drive)? Yes No
Please describe the au pair?s accommodation
Please list any local language schools
Should the au pair have a driving licence? Yes No
Working hours per week
Time-off arrangement for the au pair Yes No
Stipend for the au pair
Please list the au pairs holidays
Do you expect the au pair to cook? Yes No
Are you willing to pay the au pair?s school/travel expenses? Yes No
Job description - Please include any additional expectations or conditions regarding the au pair (i.e. driving licence, household chores, cooking, etc.).
Letter to the au pair