Host Family Registration Form

First name and surname
First name and surname
Street, suburb/town, city, state, postcode
Enter your preferred video call details you may use for interviews with prospective au pairs
Indicate if stay/work from home
Indicate if stay/work from home
Name, age and gender of each child.
(25 – 35 p/week maximum)
If yes please describe
Click or drag files to this area to upload. You can upload up to 15 files.
A. Provide email and phone details of someone who knows your family and home, and will provide us with a character reference (eg neighbour, work colleague, friend). Describe briefly this person's relationship to your family. OR B. Upload a written character reference using the 'Add files' button above.
By submitting or updating your Registration with JCR Au Pairs and Nannies, you confirm that you have read and accept all program information provided about hosting a JCR au pair, including the Fees, Terms and Conditions. JCR Au Pairs and Nannies will not use your data for any purpose other than the recruitment exercise for which you have opted to use this agency for.