AuPairSync · Free Template
Au Pair Placement Agreement
A private agreement between a host family and an au pair
Important Notice: This template is provided as a starting point only. It is not legal advice and may not reflect the laws of your country, state, or province. Au pair regulations vary significantly by jurisdiction (e.g., US J-1 visa program rules, German youth exchange regulations, UK domestic worker rules). Please consult a qualified legal professional or your au pair agency to review any agreement before signing.
Parties
This Agreement is entered into between:
Host Family
Full legal name(s): ______________________________________________________
Address: _______________________________________________________________
Email: _________________________________ Phone: ________________________
Au Pair
Full legal name: _________________________________________________________
Date of birth: _________________________ Nationality: _____________________
Passport number: _______________________________________________________
Visa / permit type & number (if applicable): __________________________________
Email: _________________________________ Phone: ________________________
1. Term of Agreement
| Start date | |
| End date | |
| Probationary period | e.g., 4 weeks from start date |
| Notice period (after probation) | e.g., 4 weeks written notice |
| Automatic renewal? | Yes / No |
2. Working Hours & Schedule
| Maximum working hours per week | |
| Maximum working hours per day | |
| Guaranteed days off per week | |
| Days off per week (specify days) | |
| Typical working days | |
| Babysitting hours per week (if any) | |
| How schedule changes are communicated | |
The au pair's primary duty is childcare. Household tasks (if any) must be child-related and performed within the agreed working hours.
3. Compensation & Benefits
| Weekly stipend / pocket money | |
| Payment frequency | Weekly / Bi-weekly / Monthly |
| Payment method | Bank transfer / Cash / Other: _________ |
| Annual paid vacation days | |
| Public holidays (paid?) | Yes / No / To be agreed |
| Sick leave (paid?) | Yes / No / ___ days paid per year |
| Language course contribution | Yes (___ per month) / No |
| Transport allowance / pass | Yes (___ per month) / No |
| Health insurance | Provided by host family / Au pair's own / Agency |
| Room & board provided? | Yes (included in compensation) / No |
4. Accommodation
4.1 The host family agrees to provide the au pair with a private room with a lockable door at the family's residence located at:
Address: _______________________________________________________________
4.2 The au pair has access to:
Kitchen access: Yes / No / Limited to: _________________________________
Bathroom access: Private / Shared with: _________________________________
Internet / Wi-Fi: Yes / No
Laundry access: Yes / No / Schedule: ___________________________________
4.3 The au pair agrees to keep their room and shared spaces tidy and to report any damage promptly.
5. Duties & Responsibilities
5.1 Childcare Duties
Describe primary childcare responsibilities (e.g., supervision, school pickups, bedtime routine, homework help): _____________________________________________________ ________________________________________________________________________
5.2 Household Duties (if applicable)
List any agreed household tasks related to childcare (e.g., children's laundry, children's meals, tidying play areas): _______________________________________________ ________________________________________________________________________
5.3 Duties NOT included
Tasks that are explicitly excluded from the au pair's duties: _________________ ________________________________________________________________________
6. Children & Dependants
| Child's Name | Date of Birth | Notes (allergies, needs) |
|---|
| | |
| | |
| | |
Medical authorisation: The au pair is / is not authorised to consent to routine medical treatment in the host parents' absence. Emergency situations: always seek treatment first, then notify parents.
7. House Rules & Conduct
7.1 Guests:
Guest policy: __________________________________________________________
7.2 Smoking / Alcohol / Substances:
Policy on smoking on premises: _________________________________________
Policy on alcohol consumption: _________________________________________
7.3 Social Media: The au pair agrees not to post photographs or identifying information about the children or the family on social media without express written consent from the host parents.
7.4 Confidentiality: The au pair agrees to keep all family matters, medical information, and personal details of the host family strictly confidential, both during and after the placement.
7.5 Mobile phone use:
Policy on personal phone use during working hours: ________________________
8. Vehicle Use
Au pair authorised to drive family vehicle? Yes / No
Vehicle details: ________________________________________________________
Conditions (fuel, mileage log, permitted routes): __________________________
Who is liable for traffic fines incurred by au pair? _________________________
Au pair's driving licence number & country of issue: __________________________
9. Communication & Conflict Resolution
9.1 Both parties agree to communicate openly and respectfully about any concerns.
9.2 Regular check-in meetings will be held:
Frequency & format: _____________
9.3 If a dispute cannot be resolved directly, both parties agree to:
e.g., involve the placing agency / seek mediation / other: ___________________
10. Termination
| Notice period (by either party) | |
| Immediate termination grounds (host family) | e.g., theft, child endangerment, serious misconduct |
| Immediate termination grounds (au pair) | e.g., unsafe working conditions, harassment |
| Return travel (if terminated early) | Who pays? ____________________ |
| Accommodation after termination | Au pair may stay ___ days / must leave immediately |
11. Governing Law
This Agreement is governed by the laws of (country / state / province): ______ ________________________________________________________________________
Any disputes will be resolved in (jurisdiction): _____________________________
12. Signatures
Both parties confirm they have read, understood, and agree to this Agreement in its entirety. Each party receives one signed copy.
Host Parent 1 — Printed Name
Host Parent 1 — Signature & Date
Host Parent 2 (if applicable) — Printed Name
Host Parent 2 — Signature & Date
Au Pair — Signature & Date