Become a CHI Au Pair Host Family

E-mail

Password

Password Confirmation

Family Information

Family's Last Name

Community Administator Name

Are you a single parent?

Location and Contact Information

Address

City

State

Zip

Phone

Mobile

Other Information

What primary language is spoken at home?

What other language(s) do family members speak?

When would you like the Au Pair to arrive?

Are you a U.S. citizen?

Are you a permanent resident?

Do you wish to allow Au Pairs whom you place on hold to view your Host Family profile?

How many children would be requiring Au Pair's care?

Does your child require an Au Pair with a specialized background with handling special needs challenges and/or any medical conditions?

How did you find out about CHI Au Pair?

If you were referred to CHI Au Pair, please enter the name of the person or organization who referred you to us:

If you have been in contact with a CHI Au Pair sales and placement coordinator please enter their code:

Leave us a message

Pre-Arranged Au Pair

In which Au Pair program are you interested?

Is this an arranged pre-match with a specific Au Pair?

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