Family Registration Form
(for the placement of an Aupair)

Family Details:

* Family Name:
* Address:
* Location:
* Postcode:
* Daytime Tel No:
* Evening Tel No:
Email:
Language(s) Spoken at Home:
Family Interests/ Activities/ Special Diets:
Mother's Details:
Name:
Nationality:
Occupation:
Religion:
Father's Details:
.
Name:
Nationality:
Occupation:
Religion:

Children's Details:

		Name:		Gender:(M/F)		Age:
Child 1:				M F		< 3 months 3-6 months 6-12 months 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years Teenager
Child 2:				M F		< 3 months 3-6 months 6-12 months 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years Teenager
Child 3:				M F		< 3 months 3-6 months 6-12 months 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years Teenager
Child 4:				M F		< 3 months 3-6 months 6-12 months 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years Teenager
Child 5:				M F		< 3 months 3-6 months 6-12 months 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years Teenager
Is a New Baby Expected?				N Y
When?

Property and Location Details:

Type of Property:	House Flat
No. of Bedrooms:
No. of Bathrooms:
Any pets? (provide details):
Household staff? (provide details):
Nearest English School (provide details):
Nearest Tube Station:
Nearest Railway Station:
Nearest Bus Stop:

Aupair Details:

Note: Aupairs should not be expected to work for more than 25 hours per week (i.e. 5 hours per day) and must be given time to attend English classes. Free time for the aupairs is normally at weekends.
* Hours/Day:
Free Time:
Do you expect the aupair to do the following?
.
Drive	Unnecessary preferable essential
Babysit	N Y
If yes, how many evenings per week?	0 1 2
Take Sole Charge	N Y
.
Please note that aupairs do not, typically, have any childcare qualifications or experience.
.
Light Housework	Y N
Cooking	N Y
Ironing	N Y
Is a non-smoker preferable or essential?	Preferable Essential
* When would you like the aupair to start?
* For what period?	12 months+ 5-12 months under 5 months
Have you had an aupair before?	N Y
Preferred age?
* Acceptable Level of English?	Good Very Good Fluent Intermediate Basic+ Basic
Preferred nationality?	European Union Non EU Other
Would you employ a male aupair?	N Y
* Pocket Money offered per week (£)
.
Note: We recommend a minimum of £50 per week room and board.
.
Will the aupair have her own room?	Y N
Will the aupair have her own bathroom?	N Y
Will the aupair have her own TV?	Y N
Approx. Daily Schedule (am)
Approx. Daily Schedule (pm)
Any further comments or requirements?

JOBS IN DEMAND LIMITED WILL USE THE INFORMATION YOU PROVIDE FOR THE PURPOSES OF MATCHING YOU WITH A SUITABLE AUPAIR. TO THIS END, WE MAY DISCLOSE THIS INFORMATION TO OUR AGENTS OR POTENTIAL AUPAIRS WHO IN OUR OPINION MEET YOUR REQUIREMENTS AND YOU HAVE CONSENTED TO US DISCLOSING THIS INFORMATION.

BY SUBMITTING THIS FORM TO JOBS IN DEMAND LIMITED YOU CONSENT TO IT PROCESSING SENSITIVE PERSONAL DATA ABOUT YOU WHERE THIS IS NECESSARY FOR THE PURPOSES DESCRIBED ABOVE, FOR EXAMPLE HEALTH, NATIONALITY AND RELIGION. YOU HAVE A RIGHT TO ASK FOR A COPY OF THE INFORMATION HELD ABOUT YOU BY US (FOR WHICH A SMALL FEE MAY BE CHARGED)  AND TO CORRECT ANY INACCURACIES IN YOUR INFORMATION.

Note: By submitting this registration form you confirm that you have read and understood the Terms & Conditions of business and agree to be bound by them in all dealings with Jobs in Demand Limited.