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Families online application form
Apply for a Babysitter
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Please complete the following required fields;
Full Name
Email Address
Primary Day-time Contact No
Location
Employment Start Date
Section
A: Family details
Full Name:*
Email:*
Primary Day-time Contact No.:*
Location:*
Language Spoken at Home:*
Afrikaans
English
Ndebele
Northern Sotho
Sesotho
Swazi
Tsonga
Tswana
Xhosa
Venda
Zulu
Section B: Child/children`s details
ADD CHILD
REMOVE CHILD
Does your child/ren have special needs?
No
Yes
Section C: : Babysitter Employment Details
Employment Date:*
Employment Period:
Once off babysitter (I only need a babysitter for this one occasion)
Permanent babysitter (I would like the same babysitter to babysit for me multiple occasions in the future)
Working Hours:
Additional Info:
Section D: Preferences & Requirements
Do you have any preferences for your Babysitter in regards to Age, Gender, Language, Ethnic group, Religion, Personality Traits or Interests?
No
Yes
Please provide details regarding your preferences
Section E: Submit Application
Where did you hear about Au Pair Extraordinaire?*
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Other
If "Other", please specify."
By selecting the checkbox I acknowledge that I have read through and accept the
Terms and Conditions and Schedule of Fees
.*