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Become a Host Family Questionnaire
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Company
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Packages
Gold Membership
Au Pair Plus
Au Pair
Summer Au Pair
First & Last Name
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Email Address
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Phone Number
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Postal Address
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Skype ID
Which Au Pair Service Do You Require?
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Demi Au Pair - Up to 20 Hours Per Week
Au Pair - Up to 30 Hours Per Week
Summer Au Pair
Children's Details
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Any special requirements for children
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Children’s Favourite hobbies (Crafts, Painting etc.)
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Professions of Parents
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Is there public transportation from your House into the town / city centre
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Is there public transportation from your House into the town / city centre
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Name the city/town nearest to your house
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How far is the bus stop?
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How frequent are buses to town/city
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Closest town/village with English classes?
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Are there other known Au Pairs in the area?
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How much pocket money will you offer weekly?
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Will there be additional hours?
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Have you had an Au Pair before?
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Requested start date
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Length of placement
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Do you smoke?
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Would you accept an Au Pair that smokes?
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Should your Au Pair hold a driving licence?
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Will you provide a car?
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If yes can the Au Pair use it on her free days?
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Typical daily schedule for your Au Pair
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Total weekly hours
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Do you have any pets? If so, which pets you have
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Do you want the Au Pair to care for them?
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Should your Au Pair have any special skills (e.g. swimming or horse-riding)?
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If so, which ones
Which language is mainly spoken in your family?
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Distance from your home to the centre of the city
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What expectations do you have of the Au Pair placement?
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