Bunters Au Pair Agency

To provide the best possible service to both family and au pair, it is important that we start by reviewing as much information about you and your family as possible, to maximise the potential for finding the right au pair for you. So to start with we would ask you to please register with us, by completing the form below.

If you prefer you can download and print a PDF version of the form instead. Complete it and send it to us by post of fax.

Surname
Address


Country

Telephone (home)	Telephone (mobile)
Telephone (work)	Email
Wife's Occupation	Full or Part Time
Husband's Occupation	Full or Part Time
Family Nationality	Family Religion
Ethnic origin	Languages Spoken

Names of Children	Age	Date of Birth	At Nursery or school or home

Is a new baby expected?
Give details of any medical conditions/disabilities
Is the Family Vegetarian?
Family Hobbies and Interests
Give details of any pets
Give details of any other resident over 16
Does anyone smoke?

HOUSE DETAILS

House Type		No of bedrooms
No of Bathrooms		Garden
Reception Rooms
Location		Nearest Town/City

DISTANCES to (in KM)

Town		Bus Stop
Shops		Train Station
Language School		Cinema

FAMILY REFERENCE
Please provide details of a person, or a previous Au Pair that can provide a reference for your family.

Name
Address
Telephone No
Relationship to your Family

Your Au Pair PREFERENCES

When do you want them to start?
For how long do you want them?	Months
Nationality preferred?
Would you accept a Smoker?
Would you accept a Vegetarian?
Would you accept a Male Au Pair?
Do you require a Driver?
Is a Driver Essential?
Confirm that the Au Pair can attend Language School
Have you ever had an Au Pair before?

Accommodation for your Au Pair

Confirm that the Au Pair will have their own room
What facilities will the Au Pair have in their room (CTRL-CLICK to select multiple options)	Bathroom TV Radio/Cassette Desk

Duties required from your Au Pair

Confirm the Au Pair will have 2 full days off per week
No of evenings babysitting (up to a max of 2)
Hours per week
Pocket Money per week (Min should be £55)
Do you employ other helpers?

List of Duties

Any Other Information Relevant

View our Terms and Conditions of Business.

By checking this tick box, I/we accept and agree to abide by the "BUNTERS Terms and Conditions of Business (January 2004), which I/we have read and understood. I/we confirm that the information provided in our 'Application Form' is correct and accurate. I/we shall also notify BUNTERS immediately if there are changes to the information in our 'Application Form'.

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