Free sign-in questionnaire





	How many hours will the Au pair be alone at home with the children?

	Do you have any disabled child? yes no
	Do you attend any religious service? yes no
Do you live in an apartment or a house? Please, make a brief description of your house	Do you have a room for the Aupair? yes no Is there enough Light and room? yes no
Do you have any public transportation to arrive to the city centre?	What date would you like the Aupair to arrive?
How long do you need the Au pair to stay?	How many hours daily?
What tasks will she have?	What duties will she have with children?
What language would you like the Au pair speak with the children?	What language is mainly spoken in your family?
Do you smoke at home? yes no	Would you accept a smoker who will respect the domestic places and children? yes no
Do you have any pets? yes no	Would you like the Au pair to take care of your pets? yes no
Another daily tasks for the Au pair	Will you accept her as a member of the family? yes no
Will you agree the weekly salary with the agency according to the number of worked hours?	Write a short welcome message for the Au pair. You can add a brief family description.
What are the main characteristics you think an Au pair should have?	make the list of preference of nationalities.
	By checking this I herewith confirm that all my statements concerning my application are true. I am aware that my application and the enclosures cannot be returned to me.