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Host Application

Thank you for applying to host an Au Pair or Demi Pair!

Please complete the form as thoroughly as possible.

Are you interested in an Au Pair or Demi Pair?*
Please, select one option

Family Name*
Please, insert your family name

Street Address*
Please, insert your address

City*
Please, insert your city

Postal Code*
Please, insert your postal code

Contact Information

Family Home Phone*
Please insert your family home phone

Skype name (if available)

This is helpful for us to know as in some cases we will need to arrange (with your prior permission) a video call with a prospective demi pair/au pair.

Apple Facetime email address (if available)

This is helpful for us to know as in some cases we will need to arrange (with your prior permission) a video call with a prospective demi pair/au pair.

Parent 1

First Name*
Please, insert your first name

Last Name*
Please, insert your last name

Date of Birth*
/ / Please, insert a correct birthdate

Occupation*
Please, insert your occupation

E-Mail*
Please, enter a valid e-mail address

Please confirm your email*
E-Mail addresses don't match

Cellphone*
Please insert your cellphone number

Work Phone
Please, insert your work phone number

Gender/Sex*
Please, select your gender

Hobbies*
Please, insert your hobbies

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Parent 2

What is the relationship with parent 1?*
Please select one option

First Name*
Please, insert your first name

Last Name*
Please, insert your last name

Date of Birth*
/ / Please insert a correct birthdate

Occupation*
Please, insert your occupation

E-Mail*
Please, enter a valid e-mail address

Please confirm your email*
E-Mail addresses don't match

Cellphone*
Please, insert your cellphone number

Work Phone
Please, insert your work phone number

Gender/Sex*
Please, select your gender

Hobbies*
Please, insert your hobbies

Communications

Who will be responsible for communications with the School?*
Please, select one option

Children Information

How many children do you have?*
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Child 1

First Name*
Please, insert the child's first name

Date of Birth*
/ / Please insert the child's correct birthdate

Gender/Sex*
Please, select the child's gender

Hobbies*
Please, insert the child's hobbies

Child 2

First Name*
Please, insert the child's first name

Date of Birth*
/ / Please, insert the child's correct birthdate

Gender/Sex*
Please, select the child's gender

Hobbies*
Please, insert the child's hobbies

Child 3

First Name*
Please, insert the child's first name

Date of Birth*
/ / Please, insert the child's correct birthdate

Gender/Sex*
Please, select the child's gender

Hobbies*
Please, insert the child's hobbies

Child 4

First Name*
Please, insert the child's first name

Date of Birth*
/ / Please, insert the child's correct birthdate

Gender/Sex*
Please, select the child's gender

Hobbies*
Please, insert the child's hobbies

Child 5

First Name*
Please, insert the child's first name

Date of Birth*
/ / Please, insert the child's correct birthdate

Gender/Sex*
Please, select the child's gender

Hobbies*
Please, insert the child's hobbies

Child 6

First Name*
Please, insert the child's first name

Date of Birth*
/ / Please, insert the child's correct birthdate

Gender/Sex*
Please, select the child's gender

Hobbies*
Please, insert the child's hobbies

Family Relationships

Please tell us the names, ages and relationships of any other family members/friends who come to stay at your home on a regular basis? (e.g. children from a previous relationship who stay every second weekend)
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Note:

The following information is being collected by ACCESS and will be made available either through agents acting on our behalf or directly to prospective applicants to enable them to choose a family.

Do any of the children have special needs?*
Select yes or no

Please explain in detail*
Please explain

General Information

Tell us about any pets in your home?
Please tell us about any pets in the home.

What language(s) are spoken in your home?*
Please, tell us what languages are spoken in your home

Does anyone in your household smoke inside the house?*
Please, select one option

Would you allow your Demi Pair to smoke outside the home (away from home and children)?*
Please, select one option

When are you prepared to accept a Demi Pair into your home? (month/year)*
Please, insert a month and year

Do you have a preference of gender?*
Please, select one option

Will your Demi Pair require a driver's licence?*
Select yes or no

Public Transportation

Please describe public transportation from your home to ACCESS International English Language Centre (Yonge & Bloor Sts.)

Walking time to public transportation*
Please, answer this question

Nearest bus stop to your home and Bus Number(s)
Please, insert the child's hobbies

Nearest subway station to your home
Please, insert the child's first name

Total travel time from home to ACCESS

Family Life

Describe the Demi Pair's bedroom (including heating/AC details). Please note that it is a requirement that the student is provided with a private bedroom.
Please describe the bedroom

What type of Demi Pair do you think would most enjoy being a part of your family? (e.g. outgoing? lots of childcare experience? music lover? animal lover? etc.)*
Please describe the Demi Pair

Please explain your family's daily routine. include the types of things you do in a normal day as well as during holidays (.e.g. sporting activities, camping trips, etc.) as well as any other information about your family you feel would be of value to a prospective Demi Pair.*
Please describe your family's routine

How did you hear about this program? Please be specific - where or who?*
Please tell us how you learned about this program.

Photos of your family

Family Photo #1 (max. 6Mb)
Please send us a photo of your family

Family Photo #2 (max. 6Mb)
Please send us a photo of your family

Family Photo #3 - optional (max. 6Mb)
Please send us a photo of your family

Photos of your house

Exterior House Photo #1 (max. 6Mb)
Please send us a photo of your house

Bedroom for Demi Pair (max. 6Mb)
Please send us a photo of the bedroom the Demi Pair will sleep in.

Interior House Photo #1 (max. 6Mb)
Please send us a photo of your house

Interior House Photo #2 - optional (max. 6Mb)
Please send us a photo of your house

Submission verification*

Invalid verification. Please try again.