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
Name
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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