name

have you had an au-pair before?

address

home phone number

mobile number

work phone number

fax number

email address

husband's profession and full or part time

wife's profession and full or part time

nationality of husband

nationality of wife

religion

religion practising

THE CHILDREN

name
age
school/playgroup/nursery

name
age
school/playgroup/nursery

name
age
school/playgroup/nursery

name
age
school/playgroup/nursery

name
age
school/playgroup/nursery

THE FAMILY

what is the main language spoken at home?

do you speak any other languages?

what are your interests as a family?

YOUR AU-PAIR

required when

boy or girl acceptable?

minimum length of stay

maximum stay

will you accept short term if only this is available?

driver needed?

describe driving to be done

may the au-pair smoke?

pocket money per week?( see guide for minimum suggested.)

any nationality preferences?

YOUR HOME

please describe your house and garden

and the area (in town, village, countryside etc)

family pets?

will your au-pair care for them?

do you have a dishwasher?

washing machine?

will your au-pair have own room?

tv/radio/cd/cassette player?

cleaning help?

own/shared bathroom?

use of car?