Sex, Ages and names of Children :
Telephone Home and Work
Do you have broadband?
Are you a single Parent, give details
Do both Parents work: Yes
Type of applicant required:
Would you accept a temporary Au-pair Yes
How long do you wish to engage an applicant
Would you accept a male aupair
Do you prefer a male au-pair
Does anyone in your family smoke
Can the au-pair smoke
Does the au-pair need to drive
Will the au-pair/nanny have use of a car
Will you accept an aupair with
knowledge of English
Details of your home
Do you employ any other domestic help
Do you have any pets
If yes, give details
Is your home in a
Please give an indication of the timetable you expect the au-pair/nanny/housekeeper to work
Salary per week
Duties of the au-pair/nanny/housekeeper
Special interests and hobbies of the family
Would you be prepared to help with the cost of language courses
Will you collect the au-pair/nanny/housekeeper from the station or airport
Please state the nearest station /airport
Where did you hear about Premier Au-Pair Agency
I agree to the scale of charges and terms of business *
I have forwarded my £10.00 registration fee *
Print your full name here
Please enter any other details you think might assist us in finding the right au-pair for you.
I agree to give 1 weeks notice if I should wish to terminate the employment of my au-pair.
However, I reserve the right top discharge the employee in the case of finding them dishonest, or having mistreated any member of my family, or any serious misconduct.
ALTHOUGH EVERY CARE IS TAKEN BY PREMIER AU-PAIR AGENCY IN THE PREPARATION OF DETAILS OF APPLICANTS AND THEY ARE SUBMITTED IN GOOD FAITH, I UNDERSTAND THAT PREMIER AU-PAIR AGENCY CANNOT BE HELD RESPONSIBLE FOR THE ACCURACY OF THIS INFORMATION OR FOR ANY ACTION OF THE APPLICANTS ENGAGED THROUGH PREMIER AU-PAIR AGENCY.