International Helping Hands
Au Pair Agency

Client Registration Form:
Registration is £35.00, payable by credit/debit card on completion of this and the following 'TIMETABLE AND DUTIES FOR YOUR AU PAIR' form.
Family Surname
 
First names
 
Address
Is the address
 City   Town   Village
Nearest Airport
Telephone
 Home
Office
Mobile
Fax
Email
Start Date
    
Type of au-pair placement required
Husband
occupation
age
nationality
Wife
occupation
age
nationality
Marital Status
Children
Please enter name(s), date of birth and sex
Do any of your children have a handicap or disability ?
Family Hobbies
Religion of household
Languages Spoken
Which do you prefer
 Non Smoker   Smoker
Would you accept a smoker if they agreed never to smoke in the house or in front of the children
 Yes     No
Do you have pets
 Yes     No
Do you have any domestic help
 Yes     No
How many bedrooms do you have
Is there a separate room for the Au pair
 Yes     No
Please describe the Au pair's accommodation in full (own toilet/bathroom/tv/radio etc)
Will the Au Pair have access to the Internet
 Yes     No
How far from home is the nearest
Bus Stop
Train Station
Language School
Shop
Do you require
Would you accept an Au Pair who did not speak good English
 Yes     No
Would you object to a Vegetarian Au Pair
 Yes     No
Would you accept a male Au Pair
 Yes     No
Please outline duties (a typical day)
Morning duties
Afternoon duties
Freetime
Average working hours
per day  per week
Pocket Money (Home Office recomendation is £60 - £65 per week)
Have you engaged an Au Pair before
 Yes     No
If Yes, how many and which nationality
Additional Information -please provide further information that you feel is relevant for a successful placement
Name & Address of Family Doctor
Where did you hear about International Helping Hands Agency