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Au Pair Childcare Reference check-sheet |
| Name of referee |
Country of residence |
| Telephone number of referee |
Occupation |
| Date and time of reference check |
| Referees ability to speak English: Basic Good Excellent |
| Would referee be happy to speak in English to potential host families to verify this reference? |
| Name of au pair |
How long have you known the au pair? |
| How do you know the au pair? |
| How many children did the au pair look after at any one time? |
| What duties/activities did the au pair carry out with the children? |
| In what areas of child care was the au pair strongest? |
| In what areas of child care was the au pair weakest? |
| Was the au pair asked to carry out any housework tasks? |
| Was the au pair required to drive the children in a car? |
| Did the au pair have sole charge of the children at any time without adult supervision? |
| Was the au pair asked to prepare any food for the children? |
| Is the au pair reliable? |
Was the au pair honest? |
| Was the au pair a good time keeper? |
| Was the au pair able to form a good relationship with the children? |
| Was the au pair clean and presentable? |
Was the au pair responsible? |
| Was the au pair trustworthy? |
Was the au pair able to follow clear instructions? |
| Would do you recommend this au pair to be suitable as an au pair? |
| Interviewers notes |
Download this form HERE |
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