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Photo:
First name:
Last name:
Type of person:
Au-Pair
Demi-Pair
Nanny
Housekeeper
Type:
Live in
Live out
Phone number:
Mobile number:
Email:
Permanent address:
Temporary address:
Date from address:
Date to address:
Single:
Start date:
...
Date to:
...
Religion:
Hours amount:
Payment per hour:
$,
Monday:
Tuesday :
Wednesday:
Thursday:
Friday:
Duties
:
Cook
Laundry
Ironing
Shopping
Housework
Extra activities
Help homework
Private bedroom
Private bathroom
Does you child has special needs:
Male Au-Pair:
Expectations:
Are you happy to employ an Au-Pair that smokes:
Yes
No
Number of children:
Age:
Sex:
Pets:
Hobbies:
Mothers occupation:
Fathers occupation:
First language:
Other languages:
Comments :
Are you happy to pick up your Au-Pair from the airport:
Yes
No
Otherwise, please provide details of best transportation to your home:
Where did you hear about us:
Flyer
Newspaper
Internet
Friend