Register to Find an Au Pair Step 1 of 8 12% Questions for Parents requiring an Au PairFamily Name*Address* Street Address Address Line 2 City County Postcode Email* Home Phone* Family MembersMother's NameMother's OccupationMother's Mobile NumberFather's NameFather's OccupationFather's Mobile NumberSkype or FaceTime ID (please specify)ChildNameAgeSex MaleFemale Family InformationParents' ages20-40 years40-65 yearsNationalityAfghanAlbanianAlgerianAmericanAndorranAngolanAntiguansArgentineanArmenianAustralianAustrianAzerbaijaniBahamianBahrainiBangladeshiBarbadianBarbudansBatswanaBelarusianBelgianBelizeanBenineseBhutaneseBolivianBosnianBrazilianBritishBruneianBulgarianBurkinabeBurmeseBurundianCambodianCameroonianCanadianCape VerdeanCentral AfricanChadianChileanChineseColombianComoranCongoleseCosta RicanCroatianCubanCypriotCzechDanishDjiboutiDominicanDutchEast TimoreseEcuadoreanEgyptianEmirianEquatorial GuineanEritreanEstonianEthiopianFijianFilipinoFinnishFrenchGaboneseGambianGeorgianGermanGhanaianGreekGrenadianGuatemalanGuinea-BissauanGuineanGuyaneseHaitianHerzegovinianHonduranHungarianI-KiribatiIcelanderIndianIndonesianIranianIraqiIrishIsraeliItalianIvorianJamaicanJapaneseJordanianKazakhstaniKenyanKittian and NevisianKuwaitiKyrgyzLaotianLatvianLebaneseLiberianLibyanLiechtensteinerLithuanianLuxembourgerMacedonianMalagasyMalawianMalaysianMaldivanMalianMalteseMarshalleseMauritanianMauritianMexicanMicronesianMoldovanMonacanMongolianMoroccanMosothoMotswanaMozambicanNamibianNauruanNepaleseNew ZealanderNicaraguanNigerianNigerienNorth KoreanNorthern IrishNorwegianOmaniPakistaniPalauanPanamanianPapua New GuineanParaguayanPeruvianPolishPortugueseQatariRomanianRussianRwandanSaint LucianSalvadoranSamoanSan MarineseSao TomeanSaudiScottishSenegaleseSerbianSeychelloisSierra LeoneanSingaporeanSlovakianSlovenianSolomon IslanderSomaliSouth AfricanSouth KoreanSpanishSri LankanSudaneseSurinamerSwaziSwedishSwissSyrianTaiwaneseTajikTanzanianThaiTogoleseTonganTrinidadian or TobagonianTunisianTurkishTuvaluanUgandanUkrainianUruguayanUzbekistaniVenezuelanVietnameseWelshYemeniteZambianZimbabweanLanguages spoken by familyReligionInterests and hobbiesDo you have any pets?YesNoIf yes, please give details of breeds and if the au pair is required to care for them? AccommodationLocation of houseSuburbTownCitySmall VillageLarge VillageAccommodationDetached HouseSemi-detached HouseFlatNearest language schoolDescribe your home, location, nearby facilities, transport, shop ... anything you feel would attract an au pair to your area, it helps to copy tourist board links to your nearby cities of interest!How far is your house from Facilities like shops etc.?0.5 mile1 mile2 miles5 miles10 miles20 miles30+ miles Au Pair FacilitiesWill the Au Pair have: Their own bedroom Their own bathroom Their own TV Access to the Internet Describe the Au Pair accommodationDo you have any existing help, e.g. a cleaner?YesNoPlease give details Employment DetailsLength of employment required Up to 3 months 3 - 6 months 6 - 9 months 9 months - 1 year Commencement Date Do you requireAu-Pair (25 Hours per week / minimum £80)Au-Pair (30 hours per week / minimum £95)Foreign Mothers Helper (40 hours plus £175)Pocket money you will offerPocket money is the name given to the amount paid to the au pair per week, based on the hours worked. We would normally recommend that families if possible offer higher rates of pocket money to attract a girl to provincial cities and more rural areas, also it helps if you want a driver and a slightly more mature and experienced candidate. The agency will not profit from increased pocket money.Other benefits / incentivesPlease note, as a host family you agree to pay the au pair a contribution of at least £20 per month towards language school costs or equivalent benefits, and a completion bonus equivalent to at least 1 week’s pocket money on completion of their agreed length of stay (for placements of 6 months or more). Additional DetailsDo you require a driver?YesNoPlease note that a driver will add an additional £50 to your agency fees.Is an Au Pair car provided?YesNoIf you are thinking about having a driver, please be aware that insurance can be very expensive. We cannot guarantee the standard of any of our candidate’s driving and we strongly recommend that you arrange a few lessons from a qualified driving instructor who can assess their capability before allowing them to drive your car.Have you had an Au Pair before?YesNoWould you accept a smoker?YesNoWould you accept a vegetarian?YesNoDo you require a swimmer?YesNoWould you accept a: Female Male Au Pair DutiesDescribe the duties required in detail and days/times required.Which 2 days will the Au Pair have off? Monday Tuesday Wednesday Thursday Friday Saturday Sunday How often will additional evening babysitting be required?Additional babysitting should be paid at £4 per hourWill you collect the Au Pair on his/her arrival or pay for alternative transport?YesNoHow did you hear about East Midlands Nannies and au pairs?RecommendedSearch EngineI am a returning client of East Midlands Nannies and Au PairsYesNo * I have read and agree with East Midlands Nannies and au pairs terms and conditions * This iframe contains the logic required to handle Ajax powered Gravity Forms.