culturalcare.com Open in urlscan Pro
2606:4700::6813:aa6a  Public Scan

Form analysis
1 forms found in the DOM

POST https://culturalcare.com/lcc/speck/#form

<form onsubmit="return validateForm();" action="https://culturalcare.com/lcc/speck/#form" method="POST" novalidate="">
  <div class="field-wrapper">
    <div><label class="form-label" for="FirstName">First name</label><span class="asterisk"> *</span></div><input type="text" class="form-input" id="FirstName" name="FirstName" data-required="true" placeholder="" value="">
    <div class="field-error hidden" id="FirstName-error-1">Field required</div>
    <div class="field-error hidden" id="FirstName-error-2">Value not valid</div>
  </div>
  <div class="field-wrapper">
    <div><label class="form-label" for="LastName">Last name</label><span class="asterisk"> *</span></div><input type="text" class="form-input" id="LastName" name="LastName" data-required="true" placeholder="" value="">
    <div class="field-error hidden" id="LastName-error-1">Field required</div>
    <div class="field-error hidden" id="LastName-error-2">Value not valid</div>
  </div>
  <div class="field-wrapper">
    <div><label class="form-label" for="Email">Email</label><span class="asterisk"> *</span></div><input type="email" class="form-input" id="Email" name="Email" data-required="true" placeholder="" value="">
    <div class="field-error hidden" id="Email-error-1">Field required</div>
    <div class="field-error hidden" id="Email-error-2">Value not valid</div>
  </div>
  <div class="field-wrapper">
    <div><label class="form-label" for="Phone">Phone</label><span class="asterisk"> *</span></div><input type="tel" class="form-input" id="Phone" name="Phone" data-required="true" placeholder="+1 ###-###-####" value="">
    <div class="field-error hidden" id="Phone-error-1">Field required</div>
    <div class="field-error hidden" id="Phone-error-2">Value not valid</div>
  </div>
  <div class="field-wrapper">
    <div>
      <div class="question">State</div><span class="asterisk"> *</span>
    </div><select class="form-input" id="State" name="State" data-required="true">
      <option value="" disabled="" selected="">Select your option…</option>
      <option value="AK">Alaska</option>
      <option value="AL">Alabama</option>
      <option value="AR">Arkansas</option>
      <option value="AZ">Arizona</option>
      <option value="CA">California</option>
      <option value="CO">Colorado</option>
      <option value="CT">Connecticut</option>
      <option value="DC">District of Columbia</option>
      <option value="DE">Delaware</option>
      <option value="FL">Florida</option>
      <option value="GA">Georgia</option>
      <option value="GU">Guam</option>
      <option value="HI">Hawaii</option>
      <option value="IA">Iowa</option>
      <option value="ID">Idaho</option>
      <option value="IL">Illinois</option>
      <option value="IN">Indiana</option>
      <option value="KS">Kansas</option>
      <option value="KY">Kentucky</option>
      <option value="LA">Louisiana</option>
      <option value="MA">Massachusetts</option>
      <option value="MD">Maryland</option>
      <option value="ME">Maine</option>
      <option value="MI">Michigan</option>
      <option value="MN">Minnesota</option>
      <option value="MO">Missouri</option>
      <option value="MS">Mississippi</option>
      <option value="MT">Montana</option>
      <option value="NC">North Carolina</option>
      <option value="ND"> North Dakota</option>
      <option value="NE">Nebraska</option>
      <option value="NH">New Hampshire</option>
      <option value="NJ">New Jersey</option>
      <option value="NM">New Mexico</option>
      <option value="NV">Nevada</option>
      <option value="NY">New York</option>
      <option value="OH">Ohio</option>
      <option value="OK">Oklahoma</option>
      <option value="OR">Oregon</option>
      <option value="PA">Pennsylvania</option>
      <option value="RI">Rhode Island</option>
      <option value="SC">South Carolina</option>
      <option value="SD">South Dakota</option>
      <option value="TN">Tennessee</option>
      <option value="TX">Texas</option>
      <option value="UT">Utah</option>
      <option value="VA">Virginia</option>
      <option value="VI">Virgin Islands</option>
      <option value="VT">Vermont</option>
      <option value="WA">Washington</option>
      <option value="WI">Wisconsin</option>
      <option value="WV">West Virginia</option>
      <option value="WY">Wyoming</option>
    </select>
    <div class="field-error hidden" id="State-error-1">Field required</div>
    <div class="field-error hidden" id="State-error-2">Value not valid</div>
  </div>
  <div class="field-wrapper">
    <div><label class="form-label" for="Address">Address</label><span class="asterisk"> *</span></div><input type="text" class="form-input" id="Address" name="Address" data-required="true" placeholder="" value="">
    <div class="field-error hidden" id="Address-error-1">Field required</div>
    <div class="field-error hidden" id="Address-error-2">Value not valid</div>
  </div>
  <div class="field-wrapper">
    <div><label class="form-label" for="City">City</label><span class="asterisk"> *</span></div><input type="text" class="form-input" id="City" name="City" data-required="true" placeholder="" value="">
    <div class="field-error hidden" id="City-error-1">Field required</div>
    <div class="field-error hidden" id="City-error-2">Value not valid</div>
  </div>
  <div class="field-wrapper">
    <div><label class="form-label" for="PostalCode">ZIP code</label><span class="asterisk"> *</span></div><input type="number" class="form-input" id="PostalCode" name="PostalCode" data-required="true" placeholder="" value="">
    <div class="field-error hidden" id="PostalCode-error-1">Field required</div>
    <div class="field-error hidden" id="PostalCode-error-2">Value not valid</div>
  </div>
  <div class="field-wrapper">
    <div>
      <div class="question">Are any children under age 2?</div><span class="asterisk"> *</span>
    </div>
    <div class="radio-buttons-wrapper"><label class="radio-button-wrapper"><input class="form-input" name="needs_iq_care__c" type="radio" value="Yes" id="needs_iq_care__c" data-required="true">Yes</label><label class="radio-button-wrapper"><input
          class="form-input" name="needs_iq_care__c" type="radio" value="No" id="needs_iq_care__c" data-required="true">No</label></div>
    <div class="field-error hidden" id="needs_iq_care__c-error-1">Field required</div>
    <div class="field-error hidden" id="needs_iq_care__c-error-2">Value not valid</div>
  </div>
  <div class="field-wrapper">
    <div>
      <div class="question">Do you have a private bedroom for your au pair?</div><span class="asterisk"> *</span>
    </div>
    <div class="radio-buttons-wrapper"><label class="radio-button-wrapper"><input class="form-input" name="Private_Bedroom__c" type="radio" value="Yes" id="Private_Bedroom__c" data-required="true">Yes</label><label class="radio-button-wrapper"><input
          class="form-input" name="Private_Bedroom__c" type="radio" value="No" id="Private_Bedroom__c" data-required="true">No</label></div>
    <div class="field-error hidden" id="Private_Bedroom__c-error-1">Field required</div>
    <div class="field-error hidden" id="Private_Bedroom__c-error-2">Value not valid</div>
  </div>
  <div class="field-wrapper">
    <div>
      <div class="question">Is your family open to live-in childcare?</div><span class="asterisk"> *</span>
    </div>
    <div class="radio-buttons-wrapper"><label class="radio-button-wrapper"><input class="form-input" name="Interested_in_Live_in_childcare__c" type="radio" value="Yes" id="Interested_in_Live_in_childcare__c" data-required="true">Yes</label><label
        class="radio-button-wrapper"><input class="form-input" name="Interested_in_Live_in_childcare__c" type="radio" value="No" id="Interested_in_Live_in_childcare__c" data-required="true">No</label></div>
    <div class="field-error hidden" id="Interested_in_Live_in_childcare__c-error-1">Field required</div>
    <div class="field-error hidden" id="Interested_in_Live_in_childcare__c-error-2">Value not valid</div>
  </div>
  <div class="gdpr full-width ">
    <div class="question">
      <p>We respect your privacy. Please read our <a href="https://culturalcare.com/privacy-policy/">Privacy Policy</a> for more details</p>
    </div><span class="asterisk"> *</span>
    <div class="checkboxes-wrapper"><label class="checkbox-wrapper"><input class="form-input" name="mkto_agreeToPrivacyPolicy" type="checkbox" value="true" id="mkto_agreeToPrivacyPolicy" data-required="true"><span class="checkmark"></span>I
        agree</label></div>
    <div class="field-error hidden" id="mkto_agreeToPrivacyPolicy-error-1">Field required</div>
    <div class="field-error hidden" id="mkto_agreeToPrivacyPolicy-error-2">Value not valid</div>
  </div><input type="hidden" class="hidden-field" name="LeadSource" value="Local Childcare Coordinator "><input type="hidden" class="hidden-field" name="Lead_Source_Detail__c_account" value="Website "><input type="hidden" class="hidden-field"
    name="RecordTypeId" value="012i0000000DXaL"><input type="hidden" class="hidden-field" name="sFDCCampaignID" value="7010Z000001Obbo"><input type="hidden" class="hidden-field" name="Referral_Type__c_account" value="LCC"><input type="hidden"
    class="hidden-field" name="Referral_Name__c_account" value="Shary &amp;#038; Jason Peck"><input type="hidden" class="hidden-field" name="sFDCCampaignStatus" value="Responded"><input type="hidden" class="hidden-field" name="mkto_customFormID"
    value="29474768660"><input type="text" value="" name="selected_user_country" style="display:none !important" tabindex="-1" autocomplete="off">
  <div class="submit-button-container">
    <button class="submit submit-form" type="submit" name="submit" id="submit-button">Learn more</button>
  </div>
</form>

Text Content

Shary & Jason Peck
sharyandjason.peck@lcc.culturalcare.com
713-449-0444


LIVE-IN CHILDCARE YOU CAN TRUST LIKE FAMILY

Au pairs are young adults from overseas who live with you as a family member and
help with childcare as part of an enriching cultural exchange experience. Worry
less and discover a routine that works best for your family with the peace of
mind that comes with in-home childcare.

Learn more




REQUEST MORE INFORMATION

Request more information about hosting an au pair and receive your promotion
code to waive the $75 Registration Fee. Join thousands of other busy parents who
choose to host an au pair with Cultural Care each year for a childcare solution
that fits their life.

First name *
Field required
Value not valid
Last name *
Field required
Value not valid
Email *
Field required
Value not valid
Phone *
Field required
Value not valid
State
*
Select your
option…AlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of
ColumbiaDelawareFloridaGeorgiaGuamHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth
Carolina North DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew
YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVirginiaVirgin IslandsVermontWashingtonWisconsinWest
VirginiaWyoming
Field required
Value not valid
Address *
Field required
Value not valid
City *
Field required
Value not valid
ZIP code *
Field required
Value not valid
Are any children under age 2?
*
YesNo
Field required
Value not valid
Do you have a private bedroom for your au pair?
*
YesNo
Field required
Value not valid
Is your family open to live-in childcare?
*
YesNo
Field required
Value not valid

We respect your privacy. Please read our Privacy Policy for more details

*
I agree
Field required
Value not valid
Learn more


We value your privacy. Read our privacy policy here.





BENEFITS OF BECOMING A HOST FAMILY



FLEXIBILITY

AU PAIRS PROVIDE UP TO 45 HOURS
OF CARE PER WEEK



YOU CAN SCHEDULE HOURS ACCORDING
TO YOUR NEEDS



TRUST

YOUR AU PAIR LIVES WITH YOU
AS A FAMILY MEMBER



THEY BECOME A TRUSTED AND
LOVING CAREGIVER



CULTURE

CHILDREN ARE EXPOSED TO
DIFFERENT LANGUAGES



THEY ALSO DEVELOP A MORE
GLOBAL PERSPECTIVE



SUPPORT

AU PAIR SCREENING, TRAINING,
AND TRAVEL



YEAR-LONG SUPPORT FOR
PROGRAM PARTICIPANTS






DEDICATED LOCAL SUPPORT



Your Local Childcare Consultant (LCC) is a Cultural Care representative who
lives in your community and provides on-the-ground support to local families and
au pairs year-round.




THE LARGEST SELECTION OF PRE-SCREENED AU PAIRS

Now is the time to plan ahead for childcare. We recommend that you register to
start viewing au pairs at least 3 months in advance of when you would like to
welcome your au pair.

Cultural Care Au Pair has the largest number of candidates year-round, all of
which must pass an extensive screening and selection process. Meet some of our
au pairs!


Ravenique, 22, South Africa
Ravenique aims to be a teacher and get more experience teaching while in the
USA. She is a strong swimmer, has 2+ years of driving experience, and hopes to
bring creative, energetic play to her host children
Domenik, 20, Germany
Domenik enjoys spending time in nature and teaching children to do the same.
He’s excited to learn everything he can about life in the USA, and has
experience driving in snow and harsh winter conditions.
Jaqueline, 18, Brazil
Jaqueline plays three musical instruments and loves making up songs to play with
kids. She is excited to become a part of another family and has experience
caring for infants as well as older children.




 * © 2024 Cultural Care Au Pair
 * Privacy policy
 * Terms of use

 * 
 * 
 * 
 *