Aupair Australien,Au-pair Australien, au pair Australien

Au-pair Agentur
Dr. Mona Lietz

Aupair Vermittlung
seit 1999
Sprachen lernen weltweit

info@au-pair-job.de

Online-application for host families

 

1. General statements

  

host mother

host father

titel:

first name:

surname:

country  

     
postcode, town:

street, number district:

phone (home):

fax (home or office):

  

phone (mobil):

e-Mail:

nationality:

occupation:

religion:

date of birth:

family status:

knowledge of foreign languages:

German

Englisch

Frensh

Spanish

Russian

other

Are you vegetarian?

Do you smoke?

Have you got pets? 

If yes, what kind?

Do you play any musical instruments?

If yes, which ones would the au pair be allowed to use?

responsible foreign authority:    

2. Responsible foreign authority

Do you live in a       flat or in a            house? size in m²   

number of rooms            

Do you have a television?

 

Would the au pair be allowed to watch TV?

  
Description of the Au pairs room (location, bathroom and other) size in m²   
3. Children and other persons

name

date of birth

Who stays at home? Stay at the nursery school? Who goes to school? Do you have a handicaped child?

yes/no

of ... to

yes/no

of ... to
1.
2.
3.
4.
5.
6.
If you do have a handicaped child please give details:
Who else is living in your household?
Do you have any other help around the home?       If so please state:
B. Angaben und Wünsche zum Au-Pair
Preferred starting date

You can choose several points

 at once (after the invitation procedure)
at once (within some few days)
target date 
Would you possibly also accept a male au pair?   
prefered minimum stay?     prefered nation:  

Would the aupair be allowed to smoke? 

yes                               no

Yes, the au pair would be allowed to smoke outside the house only: 

Yes, the au pair would be allowed to smoke in their own room only: 

Where is a college/ school that does german /english courses? Name of the school / college:
How often and on which weekdays would the au-pair be able to attend these courses?         
Which off day will you be prepared to give (at least one and a half day / week) Would you count / allow a bank holiday as an off day?           
What is the closest solution of transport to the next city / town Approx. travel to time
Would there be a chance of the au-pair using a car?    Will a bicycle be supplied for the au pair?   
What kind of family connections is given?      meals         invitations       leisure 
other:   
On which hobbies can the aupair take part on?    
We have already made some choices from your au pair gallery provided and would like to receive complete application forms from the following au pairs (please do not forget to provide your correct email adress) 1. 
2. 
3. 
4. 
Any other comments or requirements:
I agree to the scale of charges and the TERMS AND CONDITIONS for families.  
  

 

 

 

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Au-Pair Agentur Dr. Mona Lietz    

Aupair-Aufenthalte weltweit, Sprachreisen, Work & Travel, Praktikum und Highschool- Aufenthalt, Volontariat, Demipair, Sommercamps  

       Alter Holzweg 4

       38312 Dorstadt

       Deutschland  

       Germany

Tel.

Tel.

Fax

e-Mail:

0 5337 94 810 19

0 5337 94 810 18

0 5337 94 810 18

info@au-pair-job.de

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