Home About Us Families Family Registration Fees & Terms Contact Us	Family Registration The application below will act as your family profile, giving potential candidates a first impression and understanding of your family and your childcare needs. Provide as much information as you can as this will help to ensure the best match possible. Likewise the photographs which accompany your profile give a pictorial representation of your lifestyle. Show yourselves engaged in activities you love, perhaps your home, pets, hobbies or even a park or beach you frequent. Family Information   First Name: Last Name: Street Address: Town / City: Country: Home Phone: Work Phone: Mobile Phone: Email Address: Marital Status: select Married Partnered Single Language spoken at home: Any other language spoken in the family: How many children in the family: Age of children: Regular activities, interests and special needs of children: Child 1: Child 2: Child 3: Child 4: Fathers Occupation: Mothers Occupation: Please explain the nature of your work, for example, do you work nights, weekends or shift work. Do you have rostered or set days? Are you ever on call? Who else lives in your household? If divorced or separated please give details about how often the children are away from the house: Do you have pets? If so, please give details. Does your family have any special dietary habits? If so, please explain. Have you had an Au Pair before? select... Yes No Do you employ a cleaner / housekeeper? select Yes No What religion, if any, do you practice? Are there smokers in your household? select Yes No Amenities close to your home, for example, parks, beaches, clubs, sporting facilities, shopping centres, churches... Describe public transport available in your area: Will the Au Pair need to transport children to and from school, kindergarten, cultural or sporting activities? select Yes No Will your Au Pair have use of a vehicle while working? select Yes No For personal use? select Yes No Will you provide a mobile phone or SIM card? select Yes No Will your Au Pair be invited to holiday with the family? select Yes No Does anybody in your family have a disability? When would you like the Au Pair to start? How long would you like the Au Pair to stay? Will the Au Pair have their own bedroom? select Yes No Will the Au Pair have their own bathroom? select Yes No Describe your home, number of bedrooms/bathrooms/living areas, layout and amenities available in communal areas: Your Au Pair Requirements   Would you consider an Au Pair who smokes? select Yes No Would you consider a male Au Pair? select Yes No Would you consider an Au Pair of another faith? select Yes No Does your Au Pair need a drivers license? select Yes No How many hours will your Au Pair work per week? select 25 hours 30 hours 35 hours 40 hours Will your Au Pair have sole charge? select Yes No Or, will your Au Pair work as a mother helper? select Yes No Will the Au Pair be free most weekends select Yes No If not, which days will the Au Pair be free? Please describe the qualities you seek in an Au Pair: What is the job description for your Au Pair? Will the Au Pair be able to enrol in courses in your area eg. language, childcare, cooking, first aid etc? Will the Au Pair be required to cook for the children? select Yes No Will the Au Pair be required to cook for all the family? select Yes No Will the Au Pair have any cleaning / household duties? Please give details: Please indicate any additional information which would give potential Au Pair's an idea of your family, your lifestyle, hobbies, usual leisure acivities, meals you normally eat, routines you follow: Dear Au Pair letter:   Please email photographs of your family, the children, and your home (and any others you feel will give prospective Au Pairs a better idea about you and your lifestyle) to info@aupairextraordinaire.co.nz Terms   select I Accept I/We have read and agree to the Terms and Conditions and Agency Fees. select I Accept I/We agree to an end of contract bonus of $1040 which I/we will pay to the au pair for completion of a full 12 month contract.
Au Pair Extraordinaire M: 021 544 008     E: info@aupairextraordinaire.co.nz