Become a Host Family Questionnaire

Packages
First & Last Name*
Email Address*
Phone Number*
Postal Address*
Skype ID
Which Au Pair Service Do You Require?*
- Demi Au Pair - Up to 20 Hours Per Week
- Au Pair - Up to 30 Hours Per Week
- Summer Au Pair
Children's Details*
Any special requirements for children*
Children’s Favourite hobbies (Crafts, Painting etc.)*
Professions of Parents*
Is there public transportation from your House into the town / city centre*
Is there public transportation from your House into the town / city centre*
Name the city/town nearest to your house*
How far is the bus stop?*
How frequent are buses to town/city*
Closest town/village with English classes?*
Are there other known Au Pairs in the area?*
How much pocket money will you offer weekly?*
Will there be additional hours?*
Have you had an Au Pair before?*
Requested start date*
Length of placement*
Do you smoke?*
Would you accept an Au Pair that smokes?*
Should your Au Pair hold a driving licence?*
Will you provide a car?*
If yes can the Au Pair use it on her free days?*
Typical daily schedule for your Au Pair*
Total weekly hours*
Do you have any pets? If so, which pets you have*
Do you want the Au Pair to care for them?*
Should your Au Pair have any special skills (e.g. swimming or horse-riding)?*
If so, which ones
Which language is mainly spoken in your family?*
Distance from your home to the centre of the city*
What expectations do you have of the Au Pair placement?*
Have you been in contact or had COVID19 in the past?
- Yes
- No
Attach a Picture
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Host Family Deposit
Price: 50,00 €
Payment Method*
- Credit Card
- Paypal
Credit Card

Card Details

Cardholder Name
Payment Method

MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Email
This field is for validation purposes and should be left unchanged.

Spanish Au Pair Limited 5 Woodlea Oatencake, Midleton, Co Cork Ireland +353 (0)21 4634 558 +353 (0)87 7169155 info@spanishaupair.ie

Spanish Au Pair Limited
5 Woodlea Oatencake,
Midleton, Co Cork
Ireland

+353 (0)21 4634 558
+353 (0)87 7169155
info@spanishaupair.ie