Family Application Form:

How to apply

Please verify your e-mail address as this will validate your registration.

Online registration is the fastest method of registering with us, and getting immediate access to au pair's contact details.
If you need help filling in this form you can phone us on 0208 537 3253

Registration will require to choose a Membership scheme to suit your family,
so please have a look at Our Membership Schemes

We would like to thank our families, who through their recommendations
are contributing to the success of this business

Contact Details

First Name:		Required
Surname:		Required
Please enter an EMail address you have access to. In order to complete your registration we will send you an EMail with a link you must click to complete the registration process. This is done to confirm your email address is valid, and reduce problems with au pairs trying to contact you.
E-Mail Address:		Required
Confirm E-Mail Address:		Required

House Name / Number:		Required
Street Name:		Required
Neighbourhood / Region:		Optional
Town / City:		Required
County:		Required
Post Code:		Required

Phone Number (Home):		Required
Phone Number (Evening):		Optional
Mobile Phone Number:		Optional

Family Details

Nationality:		Required
Religion:		Optional
Are you a one parent family?	No Mother only Father only	Required
Father's Occupation:		Optional
Mother's Occupation:		Optional
Family Interests:		Optional
Would you consider a male au pair?	Yes No	Required
Number of Bedrooms:		Required
Number of Bathrooms:		Required
Do you have a garden?	Yes No	Required
Pets:		Optional
Do you have a cleaner or any other help in the home?	Yes No	Required

Children

Your Area

What type of area do you live in?	London A Town near London A Town A Village Rural Location Other (Please specify)	Required
Distance from Public Transport:		Required
Are there facilities to study English part time in your area?	Yes No	Required

Au Pair Preferences

Website Password

In order to contact au pairs on this website you will need to login using a password. Please enter the password you would like to use below, and again in the confirm box to ensure no spelling mistakes are made.
Password		Required
Confirm Password		Required

Receive automatic emails about new au pairs on the site		(Recommended, this will help with your search by keeping you up to date with new applicants. You can easily switch this off at any time after registration)
I declare that all the information provided by me is true and accurate and that I will abide by the Terms of Business

Suggestion Box

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When would you want your au pair to start?	Day: Year:	Required
How long do you require them to stay?		Required
Would you prefer a driver?	Yes No	Required
Will the applicant have the use of the Family Car?	Yes No	Required
Would you prefer a non smoker?	Yes No	Required
Applicant's Daily Duties:		Required
Would the applicant be expected to have sole charge of the children?	Yes No	Required
In what circumstances and for how long at the time?		Optional
Weekly Salary:	£ .00	Required (must be a minimum of £60)
Number of work days per week:		Required
Work Hours per Week		Required
Will he/she be free at the weekend?	Yes No	Required
Number of evenings baby sitting each week:		Required
Will the applicant have their own room?	Yes No	Required
Will the applicant have their own bathroom?	Yes No	Required
Will the applicant have their own TV	Yes No	Required
Will the applicant travel with you in this country?	Yes No	Required
Will the applicant travel with your abroad?	Yes No	Required
Please add any comments you feel relevant to your application to enable us to find you a suitable Au Pair:		Optional
How did you hear of aupair.uk.com?		Required