Personal data
family name
first name
address
zipcode and place
country
Heimatland all countries Albania Algeria Andorra Argentina Armenia Australia Austria Bangladesh Belarus Belgium Bolivia Bosnia-Herzegovina Brazil Bulgaria Burkina Faso Cameroon Canada Chile China Columbia Congo Costa Rica Croatia Cuba Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Estonia Finland France Gabon Gambia Georgia Germany Ghana Great Britain Greece Guatemala Haiti Honduras Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Kazakhstan Kenya Kyrgyzstan Latvia Liechtenstein Lithuania Luxemburg Macedonia Madagascar Malawi Malaysia Maledives Mali Malta Mauritius Mexico Moldavia Monaco Mongolia Morocco Mozambique Namibia Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea Norway Panama Paraguay Peru Philippines Poland Portugal Romania Russia Saudi Arabia Senegal Serbia / Montenegro Singapore Slovakia Slovenia South Africa South Korea Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Togo Tunisia Turkey Turkmenistan USA Uganda Ukraine Uruguay Uzbekistan Venezuela Vietnam Yugoslavia Zimbabwe telephone number
email-address
age
sex
female male present occupation
knowledge of german language
good some no knowledge of english language
good some no knowledge of french language
good some none knowledge of spanish language
good some none other languages being spoken
do you have a drivers license?
yes no date of beginning
date of beginning month 01 02 03 04 05 06 07 08 09 10 11 12 year year 2012 2013 period of your stay
period of your stay period 01 02 03 04 05 06 07 08 09 10 11 12 countries of choice
countries of choice Germany Austria Belgium Denmark Finland France Great Britain Greece Ireland Italy Luxemburg Netherlands Portugal Spain Switzerland If you hold the Strg-key pressed, you can mark several countries at the same time
More information about you
I want to look after children from the age of
I have siblings
I have experience with children
yes no I don't mind to look after a disabled child
yes no I don't mind to stay with a single parent father
yes no I don't mind to stay with a single parent mother
yes no I will help with housework
yes no My religion
I'm a smoker
yes no I like pets
yes no My hobbies are
Letter to host families
