Family Requirements Form

* indicates required field


Where Did You Hear About Us?*


Length of Contract:*

We do not do contracts of less than 6 months as we can't find candidates. MOST candidates are looking for permanent employment of 12 months or more.

Proposed Start Date:*

I am the:*


City You Reside In?*

Suburb You Reside In?*


Contact Number*

ID Number:*

Physical Address for Interviews:*

Number of Children:*

Ages of Children:*

Schools the Children attend:*

Grades Your Children Are In (if applicable):

Is Afrikaans homework applicable?*

Do any of the children have any disabilities or disorders:*

If YES, please supply further information:

DAYS and TIMES you require the candidate:*

Candidates RARELY work on weekends other than babysitting now and then.
Must the candidate work full day during the school holidays:*

If YES this severely limits candidate selection
Home Language:*

Must the Candidate be Bi-Lingual in English and Afrikaans:*

Age requirement:*

Most candidates are between 21 and 35

Gender requirement:*

Ethnicity requirement:*

Must the candidate have a teaching degree / diploma:*

This will limit candidates this is NOT common

Must the candidate have teaching experience:*

Will the family provide a car:*


Candidates require a SET monthly salary

Are you negotiable on the salary mentioned above:*

When is the best time to contact you:*

Should we call you or email you:*

Further Notes - if applicable:

Are you registered with any other agencies:*

Thank you for taking the time to complete this Family Requirements Form.
Please make sure to click SUBMIT above so that we receive it.

Agency Terms:
Once the Client engages in utilizing the services of the Agency, and commences interviewing Candidates of the Agency, both the Client and the Agency will automatically be bound by the Agency Agreement and the terms stipulated therein.

Registration Fee, Placement Fee & Agency Terms

Registration Fee
Please note that there is a registration fee of R200 which is payable upon registration with the agency. Kindly pay this amount into the following bank account and submit proof of payment to

Account Name: Homelix Group
Account Type: Cheque Account

Account Number: 6264 7646 796
Branch Code: 260216
Ref: Your Name and Surname

Placement Fee
we do charge a once-off placement fee in the event that a Family wishes to employ a candidate that they have met. The placement fee is market related and is based on the salary of the candidate. Please call us on 012 645 1032 to find out what your placement fee will be.

Family Information Guide:
Upon registering with Homelix, we will send you a Family Information Guide which contains the following information:

  • Proposed questions for your interviews with prospective au pairs
  • Guidelines on employing an au pair in terms of labour law
  • Guidelines on dealing with au pair performance related issues in terms of labour law
  • Tips on how to maintain a long-lasting relationship with your new au pair