Please fill in the following form to register
with NHAP. We ask for as many details as possible to enable us
to make the strongest possible match between your family and an
NHAP au pair.
If there are any questions that you do not
feel comfortable answering then feel free to leave them.
In accordance with the Data Protection Act, this information will
be used only to make an au pair placement with NHAP, and not passed
on to any third parties.
| Forenames: |
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| Surname: |
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| Address: |
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| Home telephone: |
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| Work telephone: |
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| Mobile: |
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| Fax number: |
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| Email address: |
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| Nationality of family: |
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| Religion of family: |
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| degree of religious observance: |
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| Main language spoken in the home by the family?: |
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| Fathers Occupation: |
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| Mothers Occupation: |
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| No. of adults living in the home: |
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| Pets: |
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| If so, which animals do you have? |
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| Do you want the au pair to care for them? |
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| Closest Station: |
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| How many children do you have? |
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| What are their names? |
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| Dates of birth? |
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| Do they have any disablilities? |
Yes
No |
| If yes, please state |
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| what are the childrens hobbies? |
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| Childrens school: |
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| Distance to school from home: |
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| Is your home: |
Suburban
Town/City |
| Do you need an au pair who can drive? |
Yes
No |
| Do you require a non smoker? |
Yes
No |
| The Family's home: |
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| Will the Au Pair have their own bedroom? |
Yes
No |
| Will the Au Pair have her own bathroom? |
Yes
No |
| Will the Au Pair have access to the Internet? |
Yes
No |
| Will the Au Pair have her own TV? |
Yes
No |
| Other, eg. stereo, use of car, etc: |
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| Please give details of free time: |
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| Would you consider a male Au Pair? |
Yes
No |
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| Au pair duties |
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| Do you have any other help in the home (eg. cleaner)? |
Yes
No |
| Please give details: |
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| Have you ever had an Au Pair before? |
Yes
No |
| If so how many times? |
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| Tasks the au pair is to perform & how often |
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| *How much Pocket Money do you intend to pay your Au Pair? |
£
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| *we recommend at least £70pw
for an Au Pair / £85pw for an Au Pair + |
Where did you hear about the agency from? |
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| Please select your choice of: |
AU PAIR
AU PAIR + |
| Start Date for your Au Pair: |
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| Length of Stay: |
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It is essential that you let
us know of any other details you feel may affect our choice
of au pair for your placement. For instance any medical issues,
dietary considerations, working habits, etc.
Submitting this registration form, either via email, online,
fax or post indicates your acceptance of our terms
and conditions of business.
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