EmailMe Form - GB Au Pairs Registration

GB Au Pairs Registration

Name *

Prefix

First *

Last *

Suffix

Address *

Address 2

Address 3

Postcode *

Telephone *

Work Telephone

Mobile No

Email *

Father's occupation *

Mother's occupation (or former occupation) *

List children's names and ages *

Mother's working hours

Your main activities and interests *

Animals owned

Membership of clubs/societies

List any domestic help (eg, cleaner)

What work do you envisage giving the au pair? *

Weekly payment *

Would you consider employing a male? *

Yes

Indicate dates you would like your au pair to start and finish *

Name of suitable referee *

Referee's telephone *

Referee's email

Status/Relationship of referee *

If you have previously employed an au pair, give name and telephone of the agency:

I have read and accept the terms and conditions *

Yes

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