Host Family Home    Letter to Host Family    Fees & Services    Overview of the Process    Expectations    Host Family Interest Form    Program Regulations    Available Au Pairs	Fields marked with asterisks (*) are required for the form to function properly. Host Mother Last Name: First Name: Middle Name: Host Father Last Name: First Name: Middle Name: Address: Street (Optional) City*:   State*:   Zip Code*: Daytime Phone*: Evening Phone*: E-Mail Address*: May we contact you at your telephone number(s)?* Yes No May we contact you at your e-mail address?* Yes No Please List Your Children Below Name Age Gender Have you had an au pair before?*   Yes No How did you hear about us?   When do you need an au pair?  Month: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember   Year:2010201120122013 Comments: You may type comments and questions here.				in brief... USAuPair is a U.S. State Department-designated sponsor for an au pair cultural exchange program. We bring to our program more than 20 years of experience in cultural exchange and hosting au pairs, including those for our own children. contact us We are also easily reachable by telephone. Click here to find out other ways to contact us.
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