APPLY AS A FAMILY IN THE USA.

Please ensure that you have read and understood our online information for families in the USA.

PERSONAL INFORMATION.

Mother's Name

Mother's Profession

Father's Name

Father's Profession

Marital Status *

Address

Apt, suite, etc.

Country

City

State

Zip code

Phone Number (Land line)

Mobile Number

SKYPE

ABOUT YOUR FAMILY / HOME.

Children's name, age and gender *

Is a baby expected?

Do any of the children have special needs?

Do any other person's live in your household?

Do you have any pets?

Any other languages spoken at home?

Where is your home situated? *

What is the nearest large town?

How far is the nearest transport? *

Where are the nearest shops?

Please write a short description of your home

What social, recreational or church activities are available?

Are you practicing Christians?

Yes

What is your regular place of worship?

How regularly do you attend?

Would you describe your own church and any other options.

ABOUT YOUR AU PAIR

Ideal start date? *

Please use Datepicker. Date Format is DD/MM/YY.

Is a driving licence required? *

Yes

Preferred

What are the principle duties you wish the au pair to cover? *

Please write a short description of the au pair's room.

Will the au pair be left in sole charge of infant children?

Have you applied to any other agencies? If so, which ones.

Instructions

In submitting this application you agree to our terms and conditions. You also agree not to make a private arrangement through any of our au pairs.

Upload your family photo

Important Information

We will keep your data on our computers for up to two years after which it will be erased. It will only be shown to applicants from our website. At any time you can ask us to delete your data.

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