GB Au Pairs Registration

Name *
First *
Last *
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? *
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 *
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