Host Family Application Form

Please fill ALL fields

Please send the information below by e-mail to info@lighthouse.ee.

Name, age and profession of father

______

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

______

Phone / Fax

______

E-mail

______

We live in ( house, flat, ect. )

______ and number of rooms is ______

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

______ month

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

______ month

Au Pair will start her work from

______

Additional comments ( if any )

  ______

______ ______