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Host Family's Application Form for short term placements up to 4 month




Candidates Qualifications Candidates Responsibilites Family Participation Screening Process Substitution Policy Insurance Available Candidates Program Costs Faq Application Form Short Term Applicaton Form




Fill in the application form on-line. Please answer all questions giving as much detail as possible on your family and your requirements. All fields marked with a * are required and must be completed. Please note that this application form is for short term placements of maximum 4 months. If you are looking for a long term candidate please fill in our regular application form


Once your application has been received you will be given a reference N that you will need to quote on all correspondence, e-mails or when contacting us by telephone








We offer on-line secure credit card payment. For your convenience if you prefer, you can fax us your application. We also accept cheques and bank transfers

First Name*

Last Name*


Home Tel N (country code first)



Work Tel N (country code first)


Mobile Tel N (country code first)


Fax N (country code first)





Address Line 1*


Address Line2






Zip/Postal Code*




VAT number or equivalent  
Name and address of where a VAT number is registered  

Marital Status*







Languages spoken*


Names and ages of children.*



Description of home and locality * (please state if in a rural area and if so access to public transport)


Other help kept in home

N of hours worked weekly of other help

Type of help needed (Please tick)*


Is it ESSENTIAL that the candidate can:

Cook? Swim? Drive?

Is a non-smoker?  

Has experience with children ?

Is mother tongue English?

Will the candidate be expected to do housework for the family?

Does your family have any special needs (please give details)

Will you accept a candidate who smokes only outside?

Do you need a candidate that can speak a particular foreign language?


Would you consider employing a male?

Will you give use of a car?

Will you give use of the internet?

Approx starting date*


Length of stay* This application form is for short term stays. If you require a candidate for a longer period please fill in our regular application form


Description of candidate's accommodation*


Approx hrs of work:*

Morning from    to

Afternoon from to 

Total daily hours: (max 10 hours per day)*


Duties (please go into as much detail as possible)*


Time off*


N Evenings off (excluding the evenings of the days off)*


Weekly salary*


Is salary negotiable?

Family’s interests*


Where do you go on holiday?*


Do you have any animals?(please give details)*


How did you find our web site? *


Any other relevant information which you feel is important

If you have browsed our summary of available candidates and have seen one or more candidates you are interested in quote their ref N here


If you have already been registered with us please quote your previous Family Ref  N here.


Terms and Conditions for short term placements maximum 4 months



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