MaxConsult - AU-PAIR Agency from Bulgaria with partners from UK, France, Belgium, Germany, Austria, Holand, Norway, Sweden, Denmark, Spain and Italy.

Surname

Title

Town/City

Post Code

Home Phone

Work Phone

Mobile

Fax

Email Address

Marital Status:

Applicant

Name

Age

Religion

Profession

Ethnic Origin

Nationality

Partner

Name

Age

Religion

Profession

Ethnic Origin

Nationality

Languages (other than English)

How important is religion:

With whom should the agency communicate?

Please give the names and ages of your Children.

Name 1

Age

Name 2

Age

Name 3

Age

Are there any other people in the house? Please provide details.

Name

Age

Relationship to Applicant

Does anyone in your family smoke?

Please give any special facts or interests about your family.

Please outline the timetable you expect your au pair to work.

Please outline the duties you would like your au pair to perform.

Would you be prepared to help with the cost of language courses?

Will you collect the Au Pair from the station or airport?

Please give details of the nearest station or airport.

Type of Au Pair required:

Salary offered Euro

Duration of Stay:

Start Date

End Date

Would you accept a vegetarian?

Preferred sex of Au Pair

minimum age

maximum age

Can the Au Pair smoke?

Would you expect the Au Pair to be in by a specified time on their nights off?

Will the Au Pair need to drive?

Will the Au Pair have the use of a car?

Will the Au Pair have the use of a bicycle?

Does the Au Pair need to swim?

What level of English will your Au Pair ideally need?

Details of your Home:

Number of bedrooms

Is your home in...

What appliances do you have?

Washing machine; dish washer ; tumble drier

Do you have any pets?

Approximately how far is your home from a:

Train Station

Underground (where applicable)

Bus Route

Local Shops

Language Classes

Please give referee contact details for information about your suitability for employing an Au Pair.

Send us your family letter

How did you find us?

Date