Contrat De Placement Au Pair1

YOUNG “AU PAIR”PLACEMENT AGREEMENT[1]

The following placement agreement for a young “au pair” is concluded between

The host family, namely ______

Ms.

name and surname ______

national social security number______

and/or

Mr.

name and surname ______

national social security number ______

resident at

street and house number ______

postal code and location ______

phone numbers (cell phone and landline) ______

number of agreement (if already given) ______

and

The young “au pair”, namely

Mr/Ms

name and surname ______

born on [2]______

at ______

nationality______

resident at

street and house number______

postal code and location______

country ______

phone number(s) (cell phone and landline) ______

I.GENERAL TERMS

The young “au pair” will be hosted by the host family for the time of ____ months, starting the ______until the ______.[3]

During the planned period of stay, the host family enables the young “au pair” to fulfil the aims of the stay, namely to take part in the day-to-day family life, to improve his/her linguistic skills and to increase his/her general culture by acquiring a better knowledge of the country, by encouraging the young “au pair” to take part in the cultural activities of the country.

II.THE HOST FAMILY’S OBLIGATIONS

1. The family undertakes to receive temporarily, a young “au pair” into the family and to share with him/her the daily family life; in this connection, the family makes the following declaration of which the young “au pair” takes note:

The host family consists of _____ members[4]

The family lives in (delete whichever does not apply) a house / a flat, consisting of: ______rooms including ______bathroom(s).

Occupation of the host family members (including the timetable)

The family employs the following domestic staff in the home: ______during ______hours/week.

The main spoken language of the family is: ______

Moreover the family also speaks the following languages:

______

1. The host family shall provide board and lodging for the young “au pair” and give him/her free access to the house.

1. The family also has to provide the young “au pair” with a separate room with the following comforts:

______

______

1. Every month the host family wires to the young “au pair” a fixed amount of

______EUR as pocket money (equivalent to a quarter of the minimum social wage).[6]

1. In exceptional cases and as long as theyoung “au pair” does not yet have a personal bank account, the pocket money can be given cash and against a receipt in duplicate copy.

1. The family gives the young “au pair” adequate time for cultural improvement as well as to attend language classes in ______

1. The family covers the costs related to language courses attended by the young “au pair”.

1. The family gives the young “au pair” at least three free evenings per week, in addition to a whole day off per week and two more days off per month.

1. The family will release the young “au pair” of his / her tasks to participate in the information session organised by the National Youth Service in the month following his / her arrival.

1. The family draws down the weekly work schedule to be countersigned by the young “au pair”.

1. In case of sickness or an accident, the host family will continue to provide boarding and lodging as well as all needed care and treatment until the necessary arrangements have been made.

1. The family takes care of potential early repatriation of the young “au pair” due to illness, accident, withdrawal of the approval or withdrawal of the authorisation of the young «au pair».

1. The family subscribes to a statutory health and accident insurance scheme for the young «au pair» pursuant to Articles 1 and 85 of the Social Security Code and takes out civil liability insurance with a duly approved insurer in Luxembourg for the young “au pair” for the term of the young “au pair” placement.

1. The family allows the agents of the National Youth Service (SNJ), who are in charge of the supervision, access to their habitations, pursuant to Article 6 Paragraph 3 of the law on young “au pair”.

III.THE YOUNG “AU PAIR”’S OBLIGATIONS

1.The young “au pair” undertakes to participate in light day-to-day family duties, such as[7] ( specify the services the young “au pair” will be required to perform)______during ______hours per day and______hours per week.

2.The young “au pair” agrees not to exercise any activity in an employed or self-employed capacity during the term of the “au pair” placement.

3.The young “au pair” agrees to have taken recognizance of the obligations and the information about the host family and notably to have taken note of the languages spoken by this one.

4.The young “au pair” declares to speak the following languages ______and have a basic knowledge of the following languages: ______.

5.The young “au pair” agrees to take language lessons, as described under II.4., during his stay.

6.The young “au pair” agrees to attend a compulsory information session during his arrival organised by the National Youth Service (SNJ).

7.The young “au pair” agrees to attend a mid-term evaluation meeting organised by the National Youth Service (SNJ).

8.The young “au pair”takes note of the fact that he can contact the National Youth Service (SNJ, tél.: 247-86408) in case of problems with the placement.

IV. MISCELLANEOUS PROVISIONS

The “au pair” placement agreement may be terminated early with immediate effect in case of force majeure or gross negligence by one of the parties and by giving at least one month notice in any other cases. The party that is considering terminating the young “au pair” placement agreement shall notify the other party in writing with a copy thereof to the attention of the National Youth Service.

Where the host family is considering terminating the young “au pair” placement agreement before the end of the term, it shall, before any decision, convene the interested person to a meeting where the reasons of the contemplated decision are explained and where the young “au pair”’s explanations are heard. The host family and the young «au pair» have the right to ask for the mediation of a representative of the National Youth Service, provided that they inform the other party thereof beforehand and in good time.

The parties equally have agreed on the following:

______.

The two parties agree to have taken recognizance of the dispositions relative to the law of 18/02/2013 on young “au pair”, notably:

that the agreement is concluded subject to the host family’s approval agreement and the young “au pair”’s authorisation.

The young “au pair”shall have the approval of theMinister of Youth and be in order with the law of 29th August 2008 on free movement of persons and immigrations.

The placement may not begin until the National Service of Youth (SNJ) has received the signed agreementand the final start date of the au pair placement.

The young “au pair”’s participation in day-to-day family duties shall not be the main purpose of the stay. It may not exceed an average of five hours per day over a period of one week. The weekly participation may not exceed an average of thirty hours over a period of one month or four weeks.

Approval shall be withdrawn when he host family ceases to satisfy the conditions for approval, respectively the commitments on the basis of which its granting was submitted, or where, by its actions, it endangers either the safety or the physical or psychological health of the young «au pair». It shall also be withdrawn when the host family does not meet the commitments in the “au pair” placement agreement concluded with the young “au pair”.

Approval shall be withdrawn when the young “au pair” has engaged in deceptive practices or has made inaccurate statements to obtain it. It may also be withdrawn when the young “au pair” does not comply with the conditions or the made commitments on the basis of which the granting of the approval has been submitted.

This agreement has been drawn up in three copies, of which

one is retained by theyoung “au pair”,

one is retained by the host family,

one is for the National Service of Youth (SNJ).

Signed the ______at ______

1

[1]Model developed on the basis of the law of (18/02/13) on the young “au pair”.

[2] The young “au pair” shall be at least 18 years old and under 30 years old.

[3]Young “au pair” placement shall not exceed a period of one year.

[4]The host family shall have among its members at least one child who is under 13 years old at the beginning of

the young “au pair”’s placement. For children who are under six years old, prove that their

day-care placement has been planned for the term of the young “au pair”’s placement.

[5] The host family shall provide an extract from police records not older than three months old for all its adult members at the beginning of the young “au pair”’s placement.

[6]The transfer has to be made every month without exception during the term of the placement. Possible periods of inactivity of the young «au pair» are not considered.

[7]The young “au pair”’s participation in day-to-day family duties and babysitting shall not exceed an average of five hours per day and thirty hours per week.