Host Family Online Registration

GENERAL

Family Name

Mothers Given Name

Fathers Given Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Telephone

Fax

Mobile

Email

Skype Name

Please provide us with the following:

Introduction Letter for Au Pair/Demi Pair (telling them about your family and your families life)

Current Police Clearance for all adults

Drop files here or

Attach a photo of your family

Drop files here or

Where did you hear about Au Pair Connections Australia?

I AGREE TO THE TERMS AND CONDITIONS*

Terms & Conditions for your Host Family Application can be found at: https://www.aupairconnections.com.au/terms-conditions-host-family/