Family Au Pair Request
Contact details
First name and last name
*
Address
*
Email address
*
Home phone
Mobile phone
*
Work phone
Skype
Messenger ID
Family profile
Mother
First name and last name
Nationality
United Kingdom
Austria
Belgium
Bulgaria
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Ireland
Italy
Latvia
Lithuania
Luxembourg
Malta
Netherlands
Poland
Portugal
Romania
Slovakia
Slovenia
Spain
U.S.A
Australia
South Africa
Canada
Other
Marital status
Married
Cohabiting
Single
Profession
Religion
Father
First name and last name
Nationality
United Kingdom
Austria
Belgium
Bulgaria
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Ireland
Italy
Latvia
Lithuania
Luxembourg
Malta
Netherlands
Poland
Portugal
Romania
Slovakia
Slovenia
Spain
U.S.A
Australia
South Africa
Canada
Other
Marital status
Married
Cohabiting
Single
Profession
Religion
Other resident adults
Other adults
Children
Child 1 gender and age
Boy
Girl
Child 2 gender and age
Boy
Girl
Child 3 gender and age
Boy
Girl
Child 4 gender and age
Boy
Girl
Child 5 gender and age
Boy
Girl
Do any of the children being cared for have any allergies, disabilities or illnesses?
yes
no
Is a new baby expected?
yes
no
Do any of your children have special needs?
Do you have any dietary requirements?
Other staff employed
Household pets
Language spoken
About your family
Please describe your family, home, hobbies and interests
*
Please provide information that you would like your au pair to know
Living accommodation
Accommodation type
Town house
Terraced
Detached
Semi-detached
Barn Conversion
Cottage
Flat
Other
Location
Village
Country
Farm
Town
Suburb
City
Seaside
Other
Nearest transport link
Local College/University
Is this also a business premises?
yes
no
Accommodation provided
Single Room in house
Double room in house
Separate annexe
flat
Au pair room content
Bed
Bed linen
Dressing table
Wardrobe
Desk
Chest of drawers
Computer
Internet
TV
Accommodation facilities provided
Own kitchen
Own bathroom
Own lounge
Shared kitchen
Shared bathroom
Shared lounge
Position available
Requirements
Part-time
Full-time
Live in
Live out
Temporary
Permanent
Position
Nanny
Mothers'/Fathers' Help
Nanny housekeeper
Nanny PA
Proxi-parent
Night nanny
Regular Babysitter
Flexi-nanny
Nanny share
Special needs
After-school nanny
Holiday nanny
Duties
Nursery duties
Cooking
Laundry
School runs
Light housekeeping
Cleaning
Grocery shopping
Pet care
Travel
Charge
Sole charge
Shared charge
Both
Other requirements
Driver
Swimmer
Animal lover
Childcare experience
Cooking experience
Preferred nationality of au pair
Job details
Start date
Days of work
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any regular overtime/babysitting offered?
yes
no
Salary offered
Typical nanny salary is £9 to £10 per hour part-time, and £10 to £12 per hour full-time.
Gross
Weekly
Duties and expectations further information
*
Please provide full details of the duties and expectations you require from your employee
*
Please provide full details of the duties and expectations you require from your employee
Can you provide an employer's reference?
yes
no
Are you advertising elsewhere?
yes
no
How did you hear from us?
Social network site
Search engine
Print advertising
Web advertising
Terms and conditions
I am the client
I am a representative of the client
* Please tick the box to confirm that you have read and accept the agency
Terms & Conditions and fees
Copyright@2016 - The Parent & Child Nanny Agency.