Step 1 - About You

First Name *
Last Name *
Gender *	Male Female
User type *	Family Au-Pair Erasmus
Country *
State/Province/Region *
City *
The following information are not visible for the rest of the users
Address *
ZIP Code *
Phone number
Social networks
	(User Name)
	(Full URL. Example: http://www.facebook.com/TheSimpsons)
	(@User Name)
I do agree to the terms of use *

Step 2 Family - Personal Information

We are interested in *	Au-Pairs Host-Sharing Both
Family type *	Two-parent Single-parent Large Single
How many children? *	None 1 2 3 4 5 6 7
Current occupation *
Couple's current occupation
Nationality *
Do you smoke? *	No Yes
Have you had an Au-Pair before? *	No Yes

Step 3 Family - Looking for

Au-Pair Data
Gender *	Male Female Both
Nationality *
Age *	From   to
Earliest date I am available *	(dd/mm/yyyy)
Latest date I am available *	(dd/mm/yyyy)
Lenght of stay *	1-3 months 4-6 months 7-9 months 10-12 months More than a year
Our Au-Pair should speak these languages very well or fluently *
Our Au-Pair should have basic language knowledge of
Will the Au-Pair have to care for disabled children? *	No Yes
Light housework required *	No Yes

Host-Sharing Data
Earliest date I am available *	(dd/mm/yyyy)
Latest date I am available *	(dd/mm/yyyy)
Lenght of stay *	Weekend 7 days 15 days 30 days

Do yoy have pets? *

No Yes

Step 4 Family - Login Information

Email *
Repeat the email *
Password *
Repeat your password *

Step 2 Erasmus - Personal Information

Date of Birth *	(dd/mm/yyyy)
Nacionality *
You speak these languages very well or fluenty *
Basic language knowledge of
Do yo smoke? *	No Yes
Host University *	Choose
Ongoing studies

Step 3 Erasmus - Information

Earliest date I am available *	(dd/mm/yyyy)
Latest date I am available *	(dd/mm/yyyy)
I want to stay for *	1-3 months 4-6 months 7-9 months 10-12 months More than a year
Non smoking flat *	Nor relevant Yes No

Step 4 Erasmus - Login Information

Email *
Repeat the email *
Password *
Repeat your password *

Step 2 Au-Pair - Personal Information

Date of Birth *	(dd/mm/yyyy)
Marital Status *	Single Married Divorced Widower
Do you have children? *	No Yes
Do you have brothers/sisters? *	No Yes
Current occupation *
Nacionality *
You speak these languages very well or fluenty *
Basic language knowledge of
Special Dietary considerations *	No diet Vegetarian Special Diet
Do yo smoke? *	No Yes
Driving License *	No Yes

Step 3 Au-Pair - Job Information

Countries I'd like to work in *
Earliest date I am available *	(dd/mm/yyyy)
Latest date I am available *	(dd/mm/yyyy)
I want to stay for *	1-3 months 4-6 months 7-9 months 10-12 months More than a year
Age of children you would like to look after *	From   to
I will work for a monoparental family? *	No Yes
Will care of disabled children? *	No Yes
Can live in family with animals? *	No Yes
Have you worked as an Au-Pair before? *	No Yes

Step 4 Au-Pair - Login Information

Email *
Repeat the email *
Password *
Repeat your password *