Family Questionnaire Part 2

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Our Ideal Au-Pair and what we can offer

Type required: Au-Pair, Holiday Au-Pair, Au-Pair Plus:

F

M

Either

Age preferred (17--27):

Preferred sex:

Latest date of start:

Earliest date of start :

Length of stay desired  or accepted (max. 2 years):

Not suitable nationality:

Preferred Nationality:

Don't mind

Yes

No

Object to a vegetarian?

Accept smoker if agrees not to smoke in the house & in presence of children

No

Yes

Object to a smoker?

Require a driver?

Yes

Would help but not necessary

No

Will have use of a bike:

Will have sole use of a car:

Upper intermediate

Lower intermediate

Knowledge of English desired

Basic

Please bear in mind au-pairs are coming to the UK to learn English and to improve their  knowledge

Au-Pair duties (select as applicable):

Supervised childcare

Sole childcare

Evening babysitting (max. 2 x week):

School run -walking

-driving

Food preparation

Hovering

Cooking for children

Dusting

Washing up

Loading / unloading dishwasher

Washing

Cleaning bathroom

Ironing - for children

- for the whole family

Gardening (male au-pair)

Caring for pets

Cleaning kitchen

Do you employ any other house or childcare help (which):

Au-Pair`s working hours:

Total weekly:

AM

PM

Other free time:

Free days - 2 per week:

Offered pocket money (min. £55 for 25 hrs):

Au-Pair's accommodation:

Will au-pair be able to attend English classes:

1/week

2/week

3/week

mornings

evenings

On foot

By bus

Only by car

Where and how far is the nearest college:

Will au-pair have use of the Internet for E-mail?

Yes

Possibly

No

Will you be able to contribute towards the au-pair`s:

- travel to and from college

Yes

No

- language classes fees

Yes

No

Maybe  later if we are happy

- travel to or from England

Yes

Maybe  later if we are happy

No

Will you meet the au-pair on arrival ?

Yes

No

Subject to arrival details

Are you registered with any other agency?

Yes

No

Once your au-pair has arrived, are you happy for Ace Au-pairs to provide other au-pairs with your tel. number (e.g. add your number to existing list of local au-pairs)

Yes

No

DATE

YOUR NAME & ADDRESS: