Host family requirements

Dossier Status
Family Last Name*
Email Address - Main contact*
First Name of whoever is completing the form*
Mobile - Main contact

Your requirements

Preferred start date
Latest possible start Date
Preferred finish date ?
Male or Female Au Pair ?
Minimum Age ?
Driver absolutely essential? ?
How will you help your Au Pair adjust to driving?
Minimum English level
Speak French to kids? ?
Accept smoker? ?
Type of personality/interests would suit kids?
Best fit for our family and lifestyle

About the position

Maximum number of hours on duty per week Hours and pocket money guidelines
Number of hours housework per week
Description of the position (timetable, duties)
Tasks you may need your Au Pair to do Check the recommended tasks here
Weekly pocket money ?
Monthly contribution to English lessons ?
Placement completion bonus (amount and date due)
Which 2 full days will they be free? ?
Do you offer any of these optional benefits? ?
More details regarding the benefits offered
When our family goes away on holiday we will
Who covers the childcare when Au Pair is off/away

About your children

How many children do you have?
Are all children permanent residents in the home?
1st child - Name
1st child - gender
1st child date of birth
1st child personality / interests
1st child special needs

2nd child - Name
2nd child - gender
2nd child date of birth
2nd child personality / interests
2nd child special needs

3rd child - Name
3rd child - gender
3rd child date of birth
3rd child personality / interests
3rd child special needs

4th child - Name
4th child - gender
4th child date of birth
4th child personality / interests
4th child special needs
Any further children
Is there a baby due? What's the due date?

About the adults

First name (Mother/Live in partner)
Nationality (Mother/Live in partner)
Profession (Mother/partner)
Approx how many hours worked/week (Mother/partner)
Age (Mother/Live in partner)
Level of French (Mother/Live in partner)
Other languages (Mother/Live in partner)

First name (Father/Live in partner)
Nationality (Father/Live in partner)
Profession (Father/Live in partner)
Approx how many hours worked/week (Father/partner)
Age (Father/Live in partner)
Level of French (Father/Live in partner)
Other languages (Father/Live in partner)

Family lifestyle - Sporty, cultural, gourmet etc?
Which scenarios apply to your family?
Describe situations where English is NOT spoken
What type of childcare have you used in the past ?
Give the pros/cons of previous Au Pair experience
Any other adults living at home/staying over ?
Does either parent have health issues/disabilities

About your home

We live in a
Number of bedrooms
Number of bathrooms
We will provide the Au Pair with ?
Do you have any of the following pets? ?
Describe your pet(s) & any related duties
Does anyone smoke in the home?
Do your like to keep your home clean & tidy?
Explain your ranking (fussy/too busy to notice...)
Do you have any other home help? ?
How many hours a month does your cleaner work

Your location & contact details

House name/Number & Street
Post Code
Journey time/cost/route to central London?
Where can you collect your Au Pair from on arrival ?
Mother/Live in partner Mobile number
Father/Live in partner Mobile Number
Secondary Email
Contact details of a referee / previous Au Pair
Contact details of a referee 2 /

Preferred payment Plan Consult our different payment plans

Source of contact
Attach up to 3 family photos
File(s) size limit is 20MB.

Reference status
Check up Status
Photos status
Proposal status