Family & Childcare
Au Pair Hosting Agreement
Au pair hosting agreement covering duties, living arrangements, stipend, and cultural exchange expectations. Two signers (family and au_pair).
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# Au Pair Hosting Agreement **Effective Date:** ___________ This Au Pair Hosting Agreement ("Agreement") is entered into by and between: **Host Family:** ___________ ("Family") **Address:** ___________ **Au Pair:** ___________ ("Au Pair") **Country of Origin:** ___________ ## 1. Program and Purpose This Agreement is entered into for the purpose of a cultural exchange program. The Au Pair will live with the Family, provide childcare services, and participate in American cultural life. The Family will provide room, board, a stipend, and educational opportunities. This arrangement is subject to the U.S. Department of State Exchange Visitor Program regulations (22 CFR Part 62, Subpart G — Au Pairs) and the Fair Labor Standards Act (FLSA) to the extent applicable. The weekly stipend, maximum working hours, educational requirements, and other terms shall comply with Department of State program requirements. **Sponsoring Agency (if applicable):** ___________ ## 2. Child(ren) in Care **Child Name(s) and Age(s):** ___________ ## 3. Term This Agreement shall commence on ___________ and continue for ___________, unless terminated earlier. ## 4. Au Pair Duties **Childcare Duties:** Supervising, feeding, bathing, dressing, transporting to activities/school, organizing age-appropriate activities, light tidying of children's areas, children's laundry, and preparing children's meals. **Maximum Weekly Hours:** ___________ **Maximum Daily Hours:** ___________ **Schedule:** ___________ **Additional Light Household Duties:** ___________
Fields (30)
effective date
date · required
family name
text · required
family address
textarea · required
au pair name
text · required
au pair country
text · required
agency name
text
children info
textarea · required
start date
date · required
term length
select · required
max hours
select · required
max daily
select · required
schedule
textarea · required
household duties
select · required
weekly stipend
text · required
payment day
select · required
education allowance
text · required
room amenities
select · required
vehicle access
select · required
days off
select · required
vacation
select · required
curfew
select · required
guests
select · required
smoking alcohol
select · required
insurance
select · required
driving
select · required
termination notice
select · required
dispute resolution
select · required
governing state
select · required
family signer name
text · required
au pair signer name
text · required
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