AIFS Host Family Reference Form:
You are receiving this form because you have been nominated as a referee for one of our Host Families. Please fill in the below providing as much details as possible. Note: AIFS will contact you via SMS for reference verification.
Host Parent(s) Full Name
*
First Name(s)
Last Name
Suburb where the Host Family resides
*
Referee Full Name
*
First Name
Last Name
Referee's Email
*
example@example.com
Referee's Preferred Contact Number
*
Please enter a valid phone number.
Referee's Preferred Contact Times/Days
*
How long have you know the family?
*
Greater than five years
Two to five years
Less than two years
Less than a year
In what capacity do you know the Family?
*
How frequently do you visit the Family in their home?
*
Please briefly describe the Family. Include your observations of the relationship(s) of the parent(s) to each other, to the children and vice versa.
*
Minimum 50 characters
0/500
Please describe any conditions, including physical or emotional conditions affecting any member of the Family that you believe may impact on their ability to host a young international Au Pair.
*
Are you aware of any alcoholism, drug abuse, domestic violence, sexual or verbal abuse or other dysfunction in the Family?
*
In your opinion do you feel that this Family would provide a safe, welcoming and inclusive cultural exchange environment for an international Au Pair?
*
Yes
No
Unsure
Submit
Should be Empty: