Pebbles Agency - Host family requirements
Dossier Status
Family Last Name*
Email Address - Main contact*
First Name of whoever is completing the form*
Mobile - Main contact
Preferred start date
Latest possible start Date
Preferred finish dateMost candidates like to finish their placement in the summer (July/August)
Earliest possible finish date
Male or Female Au Pair ?
Minimum AgeMost candidates are aged 18-21
Driver absolutely essential? Check your insurance policy for the cost of adding a young driver
How will you help your Au Pair adjust to driving?
Which nationalities will you consider? Most of our candidates are French
Minimum English level
Speak French to kids? Usually only beginners in English will be happy to speak any French to the family
Which dietary rectrictions would you consider
Accept any religion?
Accept smoker? Au Pairs sign a non smoking charter, this forbids any smoking within a mile radius of your home
Best fit for our children
Best fit for our family and lifestyle
Advantages of this position?Give any extra details which could help us attract more candidates
Maximum number of hours on duty per week Hours and pocket money guidelines
Number of hours housework per week
Description of the position (timetable, duties)
Tasks you may need your Au Pair to do Check the recommended tasks here
Weekly pocket money Over 90% of families now offer £100+
Monthly contribution to English lessons Most families contribute the £20/month minimum
Placement completion bonus (amount and date due)
Which 2 full days will they be free? We strongly recommend giving the weekend off
Do you offer any of these optional benefits? Hold the 'Ctrl' key down and click to select more than one answer (PC)
More details regarding the benefits offered
When our family goes away on holiday we will
Who covers the childcare when Au Pair is off/away
Number of children
Age of youngest child
Age of oldest child
Are all children permanent residents in the home?
1st child - Name
1st child - gender
1st child date of birth
1st child personality / interests
1st child special needs
2nd child - Name
2nd child - gender
2nd child date of birth
2nd child personality / interests
2nd child special needs
3rd child - Name
3rd child - gender
3rd child date of birth
3rd child personality / interests
3rd child special needs
4th child - Name
4th child - gender
4th child date of birth
4th child personality / interests
4th child special needs
Any further children
Is there a baby due? What's the due date?
First name (Mother/Live in partner)
Nationality (Mother/Live in partner)
Profession (Mother/partner)
Hours worked/week (Mother/partner)
Age (Mother/Live in partner)
Level of French (Mother/Live in partner)
Other languages (Mother/Live in partner)
Religion (Mother/Live in partner)
First name (Father/Live in partner)
Nationality (Father/Live in partner)
Profession (Father/Live in partner)
Hours worked/week (Father/partner)
Age (Father/Live in partner)
Level of French (Father/Live in partner)
Other languages (Father/Live in partner)
Religion (Father/Live in partner)
Nearest large towns (approx distance)
Name and walking distance to nearest train station
How far is nearest bus stop?
Name & walking distance to tube station (if local)
Journey time by train to central London?
Family info
Family lifestyle - Sporty, cultural, gourmet etc?
Which scenarios apply to your family?
Describe situations where English is NOT spoken
What type of childcare have you used in the past Hold the 'Ctrl' key down and click to select more than one answer (PC)
Give the pros/cons of any Au Pairs you've hosted
Any regular overnight guests?
Are there any other adults living at home?
Health issues or disabilities (Parents)
We live in a
Number of bedrooms
Number of bathrooms
We will provide the Au Pair with Hold the 'Ctrl' key down and click to select more than one answer (PC)
Do you have any of the following pets? Hold the 'Ctrl' key down and click to select more than one answer (PC)
Describe your pet(s) & any related duties
Does anyone smoke in the home?
Do your like to keep your home clean & tidy?
Explain your ranking (fussy/too busy to notice...)
Do you have any other home help? Hold the 'Ctrl' key down and click to select more than one answer (PC)
How many hours a month does your cleaner work
House name/Number & Street
Town/City
County
Post Code
Where can you collect your Au Pair from on arrival Hold the 'Ctrl' key down and click to select more than one answer (PC)
Mother/Live in partner Mobile number
Father/Live in partner Mobile Number
Which video software can you use for interviews
Secondary Email
Preferred payment Plan Consult our different payment plans
Referee 1 - Name & Number/Email
Referee 2 - Name & Number/Email
Attach up to 3 family photos

File(s) size limit is 20MB.

Source of contact
Reference status
Check up Status
Photos status
Proposal status