Welcome to our Online Family Application form. This form is the start of your journey in finding your perfect fit for your family. Once you have completed the form, one of our agents will be in touch within 12 hours to discuss your requirements, answer any questions you might have and start sending you some CV’s to review. Thank you for taking the time to complete it.

Section A: Family details
Full Name:*
Primary Day-time Contact No.:*
Suburb and Province:*
Language Spoken at Home:*
Section B: Child/children`s details
Does your child/ren have special needs?
Section C: Au Pair Employment Details
Employment Start Date:*
Employment Contract Period:
Working Hours:
Monthly Salary Offered
Not sure. I need guidance
Au Pair Duties & Responsibilities
Section D: Preferences & Requirements
Do you have any preferences for your Au Pair in regards to Age, Gender, Language, Ethnic group, Religion, Personality Traits or Interests?
Should your Au Pair have a valid SA drivers license?
Section E: Submit Application
Where did you hear about Au Pair Extraordinaire?*