Section A: Family details
Full Name: *

Primary Day-time Contact No.: *

Language Spoken at Home: *

Email: *

Suburb and Province: *

Section B: Child/children`s details

Please provide the ages and grades of your children.

If applicable, please detail any special needs / remedial requirements.

Section C: Tutor Working Hours

Please provide us with the most ideal working hours for your tutor.

Section D: Contract Details
Employment Start Date

Hourly Rate

Employment Contract Period

Tutor Duties/Subjects

Section D: Preferences & Requirements

If you have any preferences for your candidate e.g. age, experience, qualifications, personality type etc. please do list that here.

Section E: Submit Application
Where did you hear about Au Pair Extraordinaire?