info@citrineaupairs.co.za
+27 67 715 1116
Most affordable Au Pairs.
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About Us
Application
Contact Us
Application
Application
Au Pairs Application Form
If you are human, leave this field blank.
Section A: Family Details:
Name
*
First
Last
*
Last
Email
*
Contact Number
*
Language Spoken at Home
*
English
Afrikaans
Ndebele
Northern Sotho
Sesotho
Swazi
Tsonga
Tswana
Xhosa
Venda
Zulu
Suburb and Province
*
Section B: Child/children's details:
Child 1 Age
*
Gender
*
Male
Female
Child 2 Age
Gender
Male
Female
Child 3 Age
Gender
*
Male
Female
Does your child/ren have social needs?
No
Yes
If yes, please specify:
Section C: Au Pairs Employment Details:
Employment Start Date
*
Employment Contract Period
*
Ex: Permanent 12 months or more
Working Hours
*
Monday
Tuesday
Wednesday
Thursday
Friday
Monthly Salary Offered
*
Au Pair Duties & Responsibilities
Get children ready for school in the morning
Take to school in the morning
Collect froms chool
Take to extra-murals
Assist with and supervise homework
Run general family errands
Grocery shopping on your behalf
Engaing in intellectually stimulating play & activities with child
Bathing your child
Prepare meals for your children
Prepare dinner for your family
Occasional Babysitting and weekend work (by prior arrangement)
Travel with the family
Other
Section D: Preferences & Requirements:
Do you have any preference for you Au Pair in regards to Age, Gender, Language, Ethnic group, Religion, Personalit Traits or Interests?
Shoud your Au Pair have a valid SA drive Lisence?
No
Yes
Section E: Submit Application:
Where did you hear about us?
By selecting the checkbox I acknowlege that I have read through and accept the
Terms and Conditions and Schedule of Fees
.
*
I agree
Submit
