Non-binding request for an au-pair Dotazník pro rodiny ze zahraničíFirst NameLast NameEmailTelephone numberCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweAddressCityMother´s occupationMother´s nationalityHomeoffice work? Yes No SometimesFather´s occupationFather´s nationalityHomeoffice work? Yes No SometimesAccomodation for the au-pair with the family (recommended) au-pair has own accommodation outside the familyLiving in a - Select -HouseApartment/flatShared livingHow many children are there in your family?- Select -12345 or moreWrite a letter to your future au-pair, describe your family (family members, ages of the kids, etc.)Family and children´s hobbiesAre there any smokers in the house? No YesFamily specifics (allergies, special diet, special rules) No YesIf yes, specifyAre there any pets in the house? No YesIf yes, specifyAu-pair´s required age- Select -18-29 (recommended option)18-2620-2620-29Required gendre of the au-pair- Select -GirlBoyNo preferenceMonthly pocket money for an au-pair (300€ min)Paying the language courses for an au-pair (compulsory) YesPaying the insurance for an au-pair Yes NoPaying the transport to and from the family for an au-pair Yes NoSince when do you wish to have the au-pair? (approxemately)For how long do you wish the au-pair to stay?- Select -12 months10 months6 months3 months2 monthOther period of time (please specify below)What other period of time do you wish Au-pair to stay? (asnwer only if no option was picked in the previous question)How many hours a week do you wish the au-pair to work? (35h/max)- Select -20 hours25 hours30 hours35 hoursWill the au-pair be doing houseworks?- Select -YesNoOnly light workWill the au-pair be cooking?- Select -YesNoOccasionalyOther au-pair´s duties (picking up children from the school, help with changing diapers, etc)Main language requiredEnglishGermanSpanishFrenchCzechLanguage level requiredEnglishGermanSpanishFrenchCzechOther languages alternatives (optional)- Select -Beginner/elementary (A1)Pre-intermediate (A2) (recommended option)Intermediate (B1)Upper-intermediate (B2)Advanced (C1)Do you require driver´s license? Yes NoNoteSubmit Form
