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Employer Reference for Host Families

We will use this reference to determine the host family's suitability to host an exchange visitor in their home. This reference is for an employer or work colleague. It cannot be completed by a relative.

Host Family Name

Referee Name

Referee Address

Referee Phone Number

Referee Email

How long have you worked with the applicant?

Please detail the applicant's current role

If the applicant has held their current position for less than six months, please provide details about their previous experience.

Additional information

Please let us know if you have other information that would help us to make the decision whether or not to place an au pair in the Host Family's home.

Signature

I, the referee, confirm that I have used my own words and opinions in completing this form.
Signature