Nanny Form

Family Forms

Au Pair Forms

UK Families

Nanny Agency Fee

Thank you, we will get back to you as soon as possible.

FAMILY REQUIREMENT FORM

Require	Demi Pair Au Pair Au Pair Plus
Driver	No Essential Preferred
Non Smoker	No Yes
Last Name
First Name(s)	Wife/Partner
	Husband/Partner
Address
Postcode
Home Tel No.		Home Fax No.
Work Tel No.		Work Fax No.
Marital Status	Single Married Widowed Divorced
Profession	Wife/Partner
	Husband/Partner
Religion		Observant	No Yes
Nationality
Children living at home
Name Date of Birth Age Status 1 Boy Girl 2 Boy Girl 3 Boy Girl 4 Boy Girl
School Hours		Nursery/Playschool Hours
Main language spoken at home
Do you have other help in the house?		No Yes
If yes, please indicate who and their duties
Are there any other people living in your home?
How much would you like to pay weekly?
Information about your family i.e. disabilities, special medical requirements, anything you consider important that an Au Pair should know about your family
Family interests
Absence from Home
No. of days Hours Husband/Partner Wife/Partner
Type of house	Detached Semi-Detached Terrace Flat	Number of Bedrooms
Bathrooms		Reception Rooms
Does anyone in the household smoke?		No Yes
Do you have animals		No Yes
If yes, which animal(s)
Transport
Nearest Airport
Nearest British Rail Station
Nearest Underground Station
Are you prepared to pay for a couple of lessons in order to prepare your Au Pair for driving in England? (this is to your obvious benefit)			No Yes
Requirements
When do you require your Au Pair to start?
How long do you want your Au Pair to stay?
Any preferences (nationality, male/female, age, etc)
Accommodation provided
Any other facilities available (T.V. in room, own bathroom, use of car, etc.)
Where did you hear about us?
I acknowledge that I have read, understood and agree to be bound by the enclosed Terms and Conditions of Business