Family Application Form

Full Name

Email *

Primary day-time contact no.

Home Language

Suburb

Province

Please provide the ages and grades of your children.

If applicable, please detail any special needs / remedial requirements.

AU-PAIR WORKING HOURS:

Please specify the exact days and times your au-pair is required to work:

Employment start date

Monthly Salary Offered

Employment Contract Period

Petrol Reimbursement

If you selected the 3rd option in Petrol Reimbursment what is your agreed rate?

Au-pair Duties

PREFERENCES AND REQUIREMENTS:

If you have any preferences for your candidate e.g. age, experience, qualifications, personality type etc. please list here:

Where did you hear about us?

Would you like to receive marketing information and communication from us from time to time?

- *By submitting this document, you agree that you have read and understood our Terms and Conditions

Name