Joomfish System Plugin not enabled

Page 1 of 8

HOST FAMILY APPLICATION FORM

Host mother

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Host father

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Current Address

Invalid Input
Invalid Input
Invalid Input
Invalid Input

Family Composition

Please list children of your family

First name Birth date Sex Special interests (hobbies, activities, sports, …)
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input


  • Invalid Input
  • Invalid Input

Additional information concerning your children

Do you have any disabled children or children with a handicap?
  • Invalid Input
Do your children attend school/kindergarten?
  • Invalid Input
What is the school ‘s name?
Invalid Input
Distance between your house and the children’s school:
Invalid Input
What is the kindergarten’s name?
Invalid Input
Distance between your house and the children’s kindergarten:
Invalid Input

Family / Home / Private environment

How would you describe your family? Please give yourself a score from 1 to 10

Cheerful Invalid Input Openminded Invalid Input Respectful Invalid Input
Reliable Invalid Input Easygoing Invalid Input Warm Invalid Input
Patient Invalid Input Polite Invalid Input Talkative Invalid Input
Sociable Invalid Input Dynamic Invalid Input Perfectionist Invalid Input

Family / Home / Private environment

Give a description of your house and location Invalid Input
Give description of your location Invalid Input
Garden?
  • Invalid Input
Close to public transport?
  • Invalid Input
Close to recreation (cinema, shopping, restaurants)?
  • Invalid Input
Number of bedrooms?
Invalid Input
Number of bathrooms?
Invalid Input
Close to recreation (cinema, shopping, restaurants)?
  • Invalid Input
If so, #hours/week?
Invalid Input
Who has taken care of the children before the arrival of your au pair?
Invalid Input
Did you have an au pair before?
  • Invalid Input
What is your religious affiliation?
Invalid Input
Do you practise your religion?
  • Invalid Input
Which languages do you speak at home
Invalid Input
What other languages do you know?
Invalid Input
Do you have pets?
  • Invalid Input
If so, please specify?
Invalid Input
Do you or your family members smoke?
  • Invalid Input
Please list your family’s hobbies?
Invalid Input
Which big city is near your house?
Invalid Input
Distance between your house and closest recreation/city center:
Invalid Input

Au pair (circle relevant answer)

You declare that you are aware that it is legally required:

insurance for medical, hospitalisation and repatriation costs (*)
  • Invalid Input

Can you provide the following to your future au pair (not legally required)?

separate bathroom
  • Invalid Input
internet access
  • Invalid Input
internet access
internet access

Additional expectations concerning your future au pair?

car
  • Invalid Input
Would you accept an au pair who smokes?
  • Invalid Input
In which language will you communicate with the au pair?
  • Invalid Input
Are there any preferential languages you want to speak with the au pair?
  • Invalid Input
Do you have any preference for any particular nationality?
  • Invalid Input
If so, specify which?
  • Invalid Input

What duties will the au pair have? (circle relevant answer)

Childcare
  • Invalid Input
Bring children to school
  • Invalid Input
Feeding baby with bottle
  • Invalid Input
Giving bath to children
  • Invalid Input
Assisting with homework
  • Invalid Input
Babysitting during the night
  • Invalid Input
Washing clothes
  • Invalid Input
Ironing clothes
  • Invalid Input
Dusting and vacuuming
  • Invalid Input
General tidying
  • Invalid Input
Cooking sole charge
  • Invalid Input
Driving
  • Invalid Input
Shopping for food
  • Invalid Input
Take care of pets
  • Invalid Input
Other (please specify)
  • Invalid Input
   

Please state when the au pair can take off (besides the obligatory 1 day per week, 1 weekend per month, 1 week per 6 months)

  • Invalid Input
Do you allow your au pair to stay outside your house during weekends?
  • Invalid Input
Do you expect the au pair to travel with you?
  • Invalid Input

What type of au pair would suit your family? (circle relevant answer)

Childcare
  • Invalid Input
Independent
  • Invalid Input
Motivated
  • Invalid Input
Responsible
  • Invalid Input
Cooperative
  • Invalid Input
Initiative
  • Invalid Input
Sensitive
  • Invalid Input
Hygienic/tidy
  • Invalid Input
sociable
  • Invalid Input
Common sense
  • Invalid Input
Firm
  • Invalid Input
Educative
  • Invalid Input

Additional financial support (circle relevant answer)

To which degree, if at all, will you reimburse the transport costs of the au pair (airplane/train ticket) form/to home/host country?
  • Invalid Input
You declare that you are aware that the minimum monthly allowance for the au pair is 450 €?
  • Invalid Input
Do you wish to pay the au pair more allowance?
  • Invalid Input

Your additional comments (house rules, expectations, special skills, etc)

Invalid Input
Invalid Input

  RefreshInvalid Input