Host #1: Nationality: Year of birth: Host #2: Nationality: Year of birth: Nearest city/town: Nearest airport: Nearest train station:

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1 Au Pair Host Family Profile 2018 This form is for the potential au pair to get to know you better when you are in the process of choosing a candidate. Remember to attach pictures of the au pair s room and feel free to add a personal letter if you want to. This profile has to be filled out by all families considering contacting an au pair through Atlantis Exchange. Personal info Host #1: Nationality: Year of birth: Occupation: Mobile Phone: Host #2: Nationality: Year of birth: Occupation: Mobile Phone: Location Complete address: Nearest city/town: Nearest airport: Nearest train station: Describe the area: The family Children s name and year of birth : Children spending the day at home (names): Children in kindergarten: Children in school: Are your children living with you full-time or part-time? Yes No Will the au pair's duties include nursing the host family's children with special needs: Yes No If yes, please elaborate: Have you had au pair before? Yes No / Through Atlantis Exchange: Yes No Do you have any pets? Yes No If yes, please elaborate: Other comments/information:

2 Cultural exchange Which hobbies do the family have? Which activities would you like the au pair to take part in? Will you offer the au pair to come with you on a holiday? Yes No If yes, when and where? How can you contribute to the cultural exchange? What do you expect from the au pair when it comes to cultural exchange? The Au pair From when do you wish to invite an au pair: For how long do you want the au pair to live with your family: 2-6 months 6 months 10 months 12 months Comments: Driver s License: Yes No Only for his/her own sake We would like to invite a: Male Female Schedule Days off per week for the au pair: Afternoon off per week (same day every week): Gender not important au pair Weekly work schedule for the au pair The weekly work schedule gives the au pair an impression of what a regular week as your family s au pair will look like. Please note that each square means one hour, and you are only supposed to fill in where the au pair is on duty (maximum 5 hours per day/ 30 hours per week). It is also considered working hours for the au pair when the children are sleeping if he/she is watching them. Night work must not be part of the au pair s regular duties. Please specify the different working tasks within each square. The main purpose of the au pair programme is cultural exchange, which means that social interaction with the children and the family is a central aspect. A maximum of 15 hours weekly can be reserved for household chores.

3 Monday Tuesday Wednesday Thursday Friday Saturday Sunday after Childcare Often Sometimes Never Playing games Going for walks Reading aloud

4 Waking up/bringing to bed Bring/pick up the children to/from school Changing diapers Feeding Dressing Bathing Other tasks; please specify: Light housework Often Sometimes Never Vacuuming Ironing Dusting Tidying up after children Go shopping Cooking Help with the cooking Washing the dishes Doing laundry for the children Cleaning the children s rooms Looking after pets Taking care of plants Other tasks; please specify: The profile must include pictures of: (i) the au pair room, (ii) the bathroom the au pair will have to his/her disposal. It is also nice for the au pair if you include a few pictures of the family.

5 *Insert pictures directly into this document.

6 Letter to Au Pair Your Letter to au pair is a chance to tell your potential Au Pair everything not specifically asked for in this application and to reiterate to your potential Au Pair what is most important to you and your family. Suggested topics to write about include: A typical week with your family, example schedule and responsibilities for Au Pair Describe your neighborhood and local activities and/or attractions Your family s and especially your children s hobbies and interests Describe what you expect from your Au Pair

7 Atlantis Utveksling / Atlantis Exchange Samtykke Jeg samtykker herved til at alle de ovenfor gitte opplysninger registreres og lagres hos Atlantis Utveksling så lenge som er nødvendig for formålet, og at disse opplysningene videresendes til de au pairene jeg er i kontakt med, samt til Atlantis Utvekslings lokale utenlandske samarbeidspartnere i de aktuelle kandidatenes hjemland. Jeg kan når som helst kreve at denne familieprofilen slettes hos Atlantis Utveksling, så lenge jeg ikke lenger har en au pair gjennom Atlantis Utveksling. Dette skal skje ved skriftlig henvendelse til Atlantis Utveksling. Jeg er innforstått med at Atlantis Utveksling vil kreve ny familieprofil før jeg igjen kan invitere en au pair. Jeg erklærer herved at alle de ovenfor gitte opplysninger er korrekte og oppgitt frivillig til Atlantis Utveksling. Sted og dato: Signatur: Hvor hørte du først om Atlantis Utveksling? Vennligst signer og send skjemaet til Atlantis Utveksling, enten på e-post aupair@atlantis.no eller per post til Atlantis Utveksling, Skippergata 9, 0152 Oslo.