Millennium
Au Pairs
is
a long established UK based
Au Pair agency
, our candidates
are all fully vetted.
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Millennium Au Pairs & Nannies,
The Coach House,
The Crescent,
Belmont,
Sutton,
Surrey SM2 6BP,
ENGLAND.
Tel: +44 (0)208 241 9752
Family registration
Complete the form below if you wish to register an interest in employing an aupair through Millennium Aupairs.
PLEASE
enter details in all fields, otherwise you may be returned to this page to fill in missing information and have to start again!
Application for an:
Aupair
Unspecified
Yes
No
Aupair plus
Unspecified
Yes
No
Mothers help
Unspecified
Yes
No
Housekeeper
Unspecified
Yes
No
Are you a single parent?:
No
Yes - single father
Yes - single mother
Prefered age:
18-20
20-25
25+
Any
First name:
Surname:
Nationality:
Address:
Postcode:
Home tel:
Work tel:
Mobile:
Fax No:
Valid Email address:
Separate multiple email addresses with commas
Husbands Occupation:
Wife's Occupation :
Religion:
Practising:
Yes
No
Photo:
Number of children in the following age groups:
0-23 months
2 - 4 years
5 - 7 years
8 - 12 years
12 years +
Please list children's names, ages and sex:
Family Race
White
Latin American
African
Middle East
Asian
Carribbean
Other
If other please specify:
Type of Accomodation
Detached
Semi-Detached
Bungalow
Terraced House
Flat
Please give details of the duties of the Au Pair in relation to each child:
Do any of the children have a handicap or disabilty?
How many hours of housework a week will the Au Aupair be expected to perform?
Please list your family interests and hobbies?
Will the Au Pair be required to carry out the following duties:
Washing and Ironing
Yes
No
Handwashing
Yes
No
Dusting and Vacuuming
Yes
No
General Tidying
Yes
No
Cooking Sole Charge
Yes
No
Cooking Assistance
Yes
No
Driving
Yes
No
Is it absolutely essential for your Au Pair to drive in the UK?
Yes
No
Do you have any cats and or rabbits?
Yes
No
Do you have any dogs?
Yes
No
Do you have any other pets?
Yes
No
Please give details here:
Are any languages other than English spoken?
Yes
No
Is English mainly spoken?
Yes
No
Any other duties to family pets?
Any Other duties?
Please give details of one or two referees we can contact on behalf of the Au Pair's parents (friend, collegue, other)
Name:
Address:
Postcode:
Tel No:
Name:
Address:
Postcode:
Tel No:
Is it essential for your au pair to be a swimmer?
Yes
No
Please state what type of personality you believe would best fit in with your family and how you envisage your Au Pair's role:
Do you agree to your home telephone number being given to other Au Pairs in the area?
Yes
No
Would you accept an Au Pair with only a little English?
Yes
No
Would you consider a male Au Pair?
Yes
No
Would you accept a smoker if they agree never to smoke in the house or in front of the children?
Yes
No
Do any members of the family smoke in the home?
Yes
No
Any members of the family vegetarian?
Yes
No
Would you accept a vegetarian aupair?
Yes
No
Please state when the Au Pair will normally have free time
Weekends
Yes
No
Saturdays only
Yes
No
Sundays only
Yes
No
Numbers of full days off
Other e.g Shift work
Do you have a preference for any particular Nationality? Please specify..
When not babysitting, would you allow the Au Apair to keep late social hours?
Weekends
Yes
No
Weekdays
Yes
No
Within reason
Yes
No
Not at all
Yes
No
Have you ever employed an Au Pair?
Yes
No
Do you employ any other home help? Please specify....
Is there an English language School close by?
Yes
No
Will the Au Pair have her own:
Room?
Yes
No
Bathroom?
Yes
No
Radio?
Yes
No
TV?
Yes
No
Use of a car?
Yes
No
How much weekly pocket money will you pay?
£
Minimum length of stay required?
Which is your nearest BR Station?
Underground?
Journey time by rail to central London?
Nearest large city/town?
Date you wish the applicant to start?
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Will you meet the Au Pair on arrival?
Yes
No
Will you accept an Au Pair who is not available for interview in the UK (where a telephone call will be arranged instead)?
Yes
No
Where did you hear about Millennium Au Pairs?
I agree to the charges and terms and conditions of business specified by Millennium Au Pairs & Nannies and certify that all the information given on this form is correct and that the conditions of employment described above are accurate.
View terms
Date of application 09-May-08
I agree
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