Question Answer Family Surname Diamond McGill Your name and partner's Sue Diamond name Peter McGill Full address, including post code: The Old Church, St.Michael on the Hill, off Burnley Road Easy, Lumb, BB4 9PQ Is it a City, Town or Village? Village Nearest Airport Manchester Telephone (Home) 01706221552 Telephone (Office) 0161 614 8383 Mobile 07801668073 Email SDiamond@themanchestercollege.ac.uk Start Date Sept 10 Husband's Occupation Piano tuner Husband's Age 45 Husband's Nationality Piamo tuner/technician Wife's Occupation college lecturer Wife's Age 45 Wife's Nationality British If either nationality is NOT British, does the partner hold a British Passport? If yes, on what date was the Passport issued? Marital Status Married Family Hobbies skiiing (dry ski slope)cycling, movies Family Religion C of E Language(s) Spoken English Type of house Detached (converted church) No of bedrooms 5 Please describe Au Pair's accomodation in full (en suite bathroom, own room/television/radio etc) Own room, king size bed, en suite- shower and toilet, TV and DVD, radio. Child/Children's Name(s) and Gender Charlie- boy Louix - boy Child/Children's Age(s) ChaRLIE 9 (10- Sept) Louix 7 (8-Sept) Does your Child/any of your Children have any handicaps or disabilities? No Is a baby expected? No If yes, what is the Child's due date? Is yours a Smoking or Non-Smoking household? Smoking Would you accept a smoker if they agreed never to smoke in the house or in front of the children? Yes Will you accept a male au pair? No Do you require a driver? No Do you require a swimmer? Yes Do you currently employ domestic help? No Do you have any pets and will the au pair be expected to help with these pets? Yes,, cats but they wouldn't be expected to help Will the Au Pair have access to the internet? Yes Nearest transport (bus/train service etc) Bus, bottom of lane Nearest shops Rawtenstall, bus ride Nearest college Bury or Burnley - bus ride Details of language classes and cost No sure at this stage Per week 25 Per day 5 Days off Usually weekend Morning Breakfast - children, take children to school Afternoon Collect children from school,give evening meal Number of evenings baby-sitting 1, possibly 2 When do you require an Sept au pair? For how long? 11 months Will you collect from airport/station Yes Please state nearest to you Manchester How much pocket money will your au pair received. We recommend £70 per week for 25 hours £70 Please give the name and address of a person who can provide a family reference Catherine Peel, 12 Beaufort Road, Weir,Lancs 01706872094 Have you engaged an au Yes pair before? If yes, how many? 4 1. Don't mind 2. 3. How did you hear about Used before us? I/We declare that the above information is true and correct Accept I/We have read the terms and conditions of the agency and agree to adhere to them Accept