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*Name: Address:   Phone Numbers: *Email: # of kids and age: Husband/Wife Name: How soon do you need the aupair? Explain why you're looking for an aupair:   What hours do you want the aupair to work: Do you need to travel out of town? Yes No    How Often?        Typical number of days you need to be gone:        Who is going to be the aupair's contact while you're done?     Is your home a walking distance to school? Yes No    If no, explain how the kids are getting to school now:     Anyone else who is responsible in driving your kids to school?   Are you willing to pay for the following "estimated" sponsorship costs? Yes No Airfare: $650 Training & Delivery to your home: $500 Sponsorship Cost: varies, depending on immigration law - estimated at $4k Agency Fee: $3k/AuPair (we do all the paperwork and training, you just wait for us to deliver the aupair to your door) Your ongoing cost: $110/week allowance; personal items he/she will need; health insurance (contact us for details on this) To be in compliance with the law, below are some things to keep in mind as part of your schedule plans once the aupair arrives: AuPairs are required to go to school by the government to learn more about the country. It is important that you allow this person to have the time to study. Contract for bringing-in an aupair is for 1 year only. After that the person needs to go back to their home country. We can process another aupair for you 3 months before your current aupair's contract end to avoid disruption of the service. More details will be provided to you by our representative once you decide you want to move forward with this sponsorship. FREQUENTLY ASKED QUESTIONS 1. How do you know you can have peace of mind if this is the right aupair? We ask that you take the assessment seriously and give us many information you can on what you're looking for so that we can best determine who's right for you. No aupair is shipped to their sponsor without an interview and evaluation. Our goal is to give you peace of mind so we do everything we can to make this a successful placement for you. 2. How do you know if you qualify? Each sponsor is pre-screened by our own Immigration Attorney after receipt of this assessment form. We will not ask you to spend any money in sponsoring anyone if you do not qualify. Our representative will contact you upon receipt of the assessment to go through the process.