Company Name


Address

Address1

Town/City

Postcode

Telephone and Fax Number

Email Address

Employee required

Will you accept applicant with basic fair intermediate good to basic fair intermediate good knowledge of English
what experience are you looking for in the applicants?

Special certificates required

Live in or out position

Details of employee's accomodation


Date required to commence

Expected lenght of employment

Would you accept a temporary applicant

Salary per week

Employee's working day commencement/finish time and other hours which you may require the applicant

Duties of employee


Do you require a driver Yes No
Will the employee be provided with a car as part of the package


Please give details of additional incentives,bonuses,holidays and any other details that you think might assist us in finding the right employee for you

Where did you hear about Premier Au-Pair Agency

I agree to the scale of charges and terms of business *

Print your full name here

Please enter any other details you think might assist us in finding the right applicant 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.