Host family
requirements
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| Dossier
Status |
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| Family
Last Name* |
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| Email
Address - Main contact* |
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| First
Name of whoever is completing the form* |
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| Mobile
- Main contact |
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Your requirements
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| Preferred
start date |
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| Latest
possible start Date |
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| Preferred
finish date |
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| Male
or Female Au Pair ? |
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| Minimum
Age |
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| Driver
absolutely essential? |
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| How
will you help your Au Pair adjust to driving? |
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| Minimum
English level |
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| Speak
French to kids? |
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| Accept
smoker? |
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| Type
of personality/interests would suit kids? |
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| Best
fit for our family and lifestyle |
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About the position
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| Maximum
number of hours on duty per week |
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Hours and pocket money guidelines |
| Number
of hours housework per week |
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| Description
of the position (timetable, duties) |
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| Tasks
you may need your Au Pair to do |
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Check the recommended tasks here |
| Weekly
pocket money |
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| Monthly
contribution to English lessons |
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| Placement
completion bonus (amount and date due) |
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| Which
2 full days will they be free? |
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| Do
you offer any of these optional benefits? |
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| More
details regarding the benefits offered |
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| When
our family goes away on holiday we will |
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| Who
covers the childcare when Au Pair is off/away |
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About your children
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| How
many children do you have? |
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| Are
all children permanent residents in the home? |
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| 1st
child - Name |
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| 1st
child - gender |
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| 1st
child date of birth |
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| 1st
child personality / interests |
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| 1st
child special needs |
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| 2nd
child - Name |
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| 2nd
child - gender |
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| 2nd
child date of birth |
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| 2nd
child personality / interests |
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| 2nd
child special needs |
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| 3rd
child - Name |
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| 3rd
child - gender |
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| 3rd
child date of birth |
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| 3rd
child personality / interests |
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| 3rd
child special needs |
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| 4th
child - Name |
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| 4th
child - gender |
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| 4th
child date of birth |
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| 4th
child personality / interests |
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| 4th
child special needs |
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| Any
further children |
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| Is
there a baby due? What's the due date? |
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About the adults
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| First
name (Mother/Live in partner) |
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| Nationality
(Mother/Live in partner) |
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| Profession
(Mother/partner) |
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| Approx
how many hours worked/week (Mother/partner) |
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| Age
(Mother/Live in partner) |
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| Level
of French (Mother/Live in partner) |
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| Other
languages (Mother/Live in partner) |
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| First
name (Father/Live in partner) |
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| Nationality
(Father/Live in partner) |
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| Profession
(Father/Live in partner) |
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| Approx
how many hours worked/week (Father/partner) |
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| Age
(Father/Live in partner) |
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| Level
of French (Father/Live in partner) |
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| Other
languages (Father/Live in partner) |
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| Family
lifestyle - Sporty, cultural, gourmet etc? |
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| Which
scenarios apply to your family? |
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| Describe
situations where English is NOT spoken |
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| What
type of childcare have you used in the past |
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| Give
the pros/cons of previous Au Pair experience |
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| Any
other adults living at home/staying over ? |
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| Does
either parent have health issues/disabilities |
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About your home
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| We
live in a |
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| Number
of bedrooms |
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| Number
of bathrooms |
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| We
will provide the Au Pair with |
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| Do
you have any of the following pets? |
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| Describe
your pet(s) & any related duties |
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| Does
anyone smoke in the home? |
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| Do
your like to keep your home clean & tidy? |
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| Explain
your ranking (fussy/too busy to notice...) |
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| Do
you have any other home help? |
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| How
many hours a month does your cleaner work |
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Your location & contact details
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| House
name/Number & Street |
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| Town/City |
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| County |
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| Post
Code |
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| Journey
time/cost/route to central London? |
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| Where
can you collect your Au Pair from on arrival |
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| Mother/Live
in partner Mobile number |
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| Father/Live
in partner Mobile Number |
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| Secondary
Email |
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| Contact
details of a referee / previous Au Pair |
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| Contact
details of a referee 2 / |
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| Preferred
payment Plan |
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Consult our different payment plans |
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| Source
of contact |
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| Attach
up to 3 family photos |
File(s)
size limit is 20MB.
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| Reference
status |
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| Check
up Status |
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| Photos
status |
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| Proposal
status |
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