Aupiar2u - Host Family Registration Form

Family Registration Form

You can complete your registration on-line.
You should read the Terms & Conditions before completing your registration.

On Line Registration >

Forename(s) (*)
Family name (*)
Address (*)
Country (*)
Post Code
Home Telephone
Mobile
Email (*)
Are you a single parent family ?
Occupation
Nationality
Partner`s Name ( if applicable )
Partner`s Occupation ( if applicable )
Religion of Household
Number of children (*)
Childrens Names / Ages / Gender (Male / Female) e.g. John / 4 / M
Do any of your children have special needs / learning difficulties?
If Yes, please give details
Family home ( i.e. Flat / House )
Location of the home
How many bedrooms do you have ?
Is there a separate bedroom for the Au pair ?
Please describe the Au pair`s accomodation in full i.e . own toilet, bathroom, television etc.
Languages spoken (*)
Family Hobbies
Do you have any pets ?
Do you have any household employees ?
Distance from your home to the nearest airport
Distance from your home to the nearest train station
Distance from your home to the nearest bus station
Distance from your home to the nearest Language School / College
Distance from your home to the nearest shops
Au pair(s) required
Please state preference
Start Date
Duration of stay
Is it essential that the applicant holds a full driving licence ?
Will the applicant have access to a vehicle ?
Is it essential for the applicant to be able to swim ?
Is it essential for the applicant to be a non-smoker ?
Please would you give an outline of the duties expected to be carried out by the au pair(s).
Average working hours per week ?
Have you engaged an Au pair before ?
If Yes, please state how many and of which nationality
How did you hear about Aupair2u ?
Please include any additional information which you think we may need to know.
Declaration ----- I declare that the above information is true and correct
and any untrue statments may stop all placements.
I have read the terms and conditions of the agency and agree to adhere to them.
I AGREE (YES/NO) (*)

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Free on-line registration for host families @ aupair2u