Family surname *

Applicant name *

Marital status *

Address *

Town/City

County/Province

Country

Postcode

Phone

Home * 

Work

Mobile

Email Address *

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Please enter a password. You will need this to login to the site to view your account, check for new au pairs, and change your profile.

password

Please describe your family, including your children's sexes and ages

Please describe the duties you would like the au pair to perform, and provide a brief timetable for him/her.

Does your family have any pets?

Where is your home?

How many bedrooms are there?

How important is religion?

What languages are spoken in your household?

Start date
(dd/mm/yyyy e.g. 01/10/2006)

How long do you need your au pair to stay?

0 months1 month2 months3 months4 months5 months6 months7 months8 months9 months10 months11 months12 months13 months14 months15 months16 months17 months18 months19 months20 months21 months22 months23 months24 months

Would you prefer a male or female au pair?

Don't mind Male Female

Preferred nationality

No preference AlbaniaAlgeriaAndorraAngolaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBelarusBelgiumBoliviaBosnia and HerzegovinaBotswanaBrazilBulgariaCameroonCanadaChileChinaColombiaCongoCosta RicaCôte d'IvoireCroatiaCyprusCzechiaDenmarkEcuadorEgyptEstoniaFinlandFranceGeorgiaGermanyGhanaGreeceHungaryIcelandIndiaIndonesiaIrelandIsraelItalyJapanKenyaKyrgyzstanLatviaLichtensteinLithuaniaLuxembourgMacedoniaMalaysiaMexicoMoldovaMoroccoNamibiaNetherlandsNew ZealandNigeriaNorwayPeruPhilippinesPolandPortugalRomaniaRussiaSingaporeSlovakiaSloveniaSouth AfricaSouth KoreaSpainSwedenSwitzerlandThailandTurkeyU.S.A.United KingdomUkraineUnited Arab EmiratesUruguayUzbekistanVenezuelaYugoslaviaZambia

Do you need a driver?

Select Yes No

Can the au pair smoke?

Please select No Yes, in some rooms Yes, garden only Yes, anywhere

Would you accept a vegetarian?

Please select Yes No