Application Form For Family lookig for an Au Pair
Please fill ALL fields


Name, age and profession of father

Name, age and profession of mother

Address ( country, city, zip code, street, ect. )

Phone / Fax


We live in ( house, flat, ect. )

and number of rooms is

Will Au Pair have own room

Number of family members

Number of children

More information about children - name, age, does he/she attend school

Hobbies and special interests

Family travels often

Do you have animals, if yes what kind of animals

Did you have an Au Pair before

  from what country 

How many month did you have Au Pair before


How many days a week you expect your Au Pair to work

Number of working hours per day and what time ( from...till)

Duties expected from Au Pair

Housework expected from Au Pair

We will pay Au Pair

per month

Who will pay for transfer

Are you smokers

What languages should Au Pair speak ( and in what level )

Languages spoken at home

Will you pay for language course ( what language )

Does Au Pair need driving licence

Will Au Pair have access to car

We need Au Pair from (what country)

We need Au Pair for


Au Pair will start her work from

Additional comments ( if any )