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Please complete this form if you are a host family
HOST FAMILY PRELIMINARY CONTACT FORM
Employment
Category:*
  Au Pair
  Au Pair Plus
  Mother's Help
  Nanny
  Housekeeper
  Companion
Title:
 Mr.   Mrs.   Miss  Dr.
 Prof.  Lord  Lady
First Name:*
Surname:*
Address:*
Town:*
County:
Country:*
Post Code:*
Telephone No.
(Home):
Mobile:
Work:
E-mail address:*
Starting date
required:Click Here
How many children:*
Driver Required: Yes  No
Smoker accepted: Yes  No
Out of house
Pets:
Any further information:
Where did you hear about us?
  Google
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  MSN
  Yell.com
  Magazine Advert
  Online Advert
  Recommendation
  Careers Centre
 
Office address :
Childcare International Ltd.
Trafalgar House
Grenville Place
London NW7 3SA
Tel:  +44 20 8906 3116
Fax: +44 20 8906 3461 		Reg. Office address :
37 Stanmore HIll
Stanmore
HA7 3DS
Company Registered in England and Wales No. 2752378