nume"; $bIsValid = false; } if(isset($_POST['address']) == 1 && trim(strip_tags($_POST['address'])) != "") { $sAddress = strip_tags($_POST['address']); } else { $sAddress = ""; $sError .= "
  • adresa
  • "; $bIsValid = false; } if(isset($_POST['county']) == 1 && trim(strip_tags($_POST['country'])) != "x") { $sCounty = strip_tags($_POST['county']); } else { $sCounty = ""; $sError .= "
  • judet
  • "; $bIsValid = false; } if(isset($_POST['gender']) == 1) { $sGender = strip_tags($_POST['gender']); } else { $sGender = ""; $sError .= "
  • sex
  • "; $bIsValid = false; } if(isset($_POST['birth_day']) == 1 && intval($_POST['birth_day']) > 0) { $iBirthDay = intval($_POST['birth_day']); } else { $iBirthDay = ""; $sError .= "
  • ziua de nastere
  • "; $bIsValid = false; } if(isset($_POST['birth_month']) == 1 && trim(strip_tags($_POST['birth_month'])) != "") { $sBirthMonth = strip_tags($_POST['birth_month']); } else { $sBirthMonth = ""; $sError .= "
  • luna de nastere
  • "; $bIsValid = false; } if(isset($_POST['birth_year']) == 1 && intval($_POST['birth_year']) > 0) { $iBirthYear = intval($_POST['birth_year']); } else { $iBirthYear = ""; $sError .= "
  • anul de nastere
  • "; $bIsValid = false; } if(isset($_POST['phone']) == 1 && trim(strip_tags($_POST['phone'])) != "") { $sPhone = strip_tags($_POST['phone']); } else { $sPhone = ""; $sError .= "
  • numar de telefon
  • "; $bIsValid = false; } if(isset($_POST['email']) == 1 && trim(strip_tags($_POST['email'])) != "") { $sEmail = strip_tags($_POST['email']); if(stristr($sEmail, "@") == "") { $sEmail = ""; $sError .= "
  • adresa de e-mail
  • "; $bIsValid = false; } } else { $sEmail = ""; $sError .= "
  • adresa de e-mail
  • "; $bIsValid = false; } if(isset($_POST['marital_status']) == 1 && trim(strip_tags($_POST['marital_status'])) != "x") { $sMaritalStatus = strip_tags($_POST['marital_status']); } else { $sMaritalStatus = ""; $sError .= "
  • starea civila
  • "; $bIsValid = false; } if(isset($_POST['religion']) == 1 && trim(strip_tags($_POST['religion'])) != "x") { $sReligion = strip_tags($_POST['religion']); } else { $sReligion = ""; $sError .= "
  • religia
  • "; $bIsValid = false; } if(isset($_POST['religion_accepted']) == 1 && trim(strip_tags($_POST['religion_accepted'])) != "x") { $sReligionAccepted = strip_tags($_POST['religion_accepted']); } else { $sReligionAccepted = ""; $sError .= "
  • religia partenerului
  • "; $bIsValid = false; } if(isset($_POST['start_month']) == 1 && intval($_POST['start_month']) != "") { $iStartMonth = intval($_POST['start_month']); } else { $iStartMonth = ""; $sError .= "
  • luna de cind puteti incepe
  • "; $bIsValid = false; } if(isset($_POST['start_year']) == 1 && intval($_POST['start_year']) != "") { $iStartYear = intval($_POST['start_year']); } else { $iStartYear= ""; $sError .= "
  • anul de cind puteti incepe
  • "; $bIsValid = false; } if(isset($_POST['latest_start_month']) == 1 && intval($_POST['latest_start_month']) != "") { $iLatestStartMonth = intval($_POST['latest_start_month']); } else { $iLatestStartMonth = ""; $sError .= "
  • luna pina cind puteti sta
  • "; $bIsValid = false; } if(isset($_POST['latest_start_year']) == 1 && intval($_POST['latest_start_year']) != "") { $iLatestStartYear = intval($_POST['latest_start_year']); } else { $iLatestStartYear= ""; $sError .= "
  • anul pina cind puteti sta
  • "; $bIsValid = false; } if(isset($_POST['min_stay']) == 1 && trim(strip_tags($_POST['min_stay'])) != "") { $sMinStay = strip_tags($_POST['min_stay']); } else { $sMinStay= ""; $sError .= "
  • perioada minima de sedere
  • "; $bIsValid = false; } if(isset($_POST['max_stay']) == 1 && trim(strip_tags($_POST['max_stay'])) != "") { $sMaxStay = strip_tags($_POST['max_stay']); } else { $sMaxStay= ""; $sError .= "
  • perioada maxima de sedere
  • "; $bIsValid = false; } if(isset($_POST['awhere']) == 1 && count($_POST['awhere']) > 0) { $sAupairWhere = join(", ", $_POST['awhere']); } else { $sAupairWhere= ""; $sError .= "
  • locatia partenerului
  • "; $bIsValid = false; } if(isset($_POST['driving_license']) == 1) { $sDrivingLicense = $_POST['driving_license']; } else { $sDrivingLicense= ""; $sError .= "
  • carnet de sofer?
  • "; $bIsValid = false; } if(isset($_POST['swim']) == 1) { $sSwimming = $_POST['swim']; } else { $sSwimming= ""; $sError .= "
  • inotati?
  • "; $bIsValid = false; } if(isset($_POST['babysit']) == 1) { $sBabysitting = $_POST['babysit']; } else { $sBabysitting= ""; $sError .= "
  • aveti grija de copii?
  • "; $bIsValid = false; } if(isset($_POST['housek']) == 1) { $sHousekeeping = $_POST['housek']; } else { $sHousekeeping= ""; $sError .= "
  • aveti grija de casa?
  • "; $bIsValid = false; } if(isset($_POST['smoke']) == 1) { $sSmoking = $_POST['smoke']; } else { $sSmoking= ""; $sError .= "
  • fumati?
  • "; $bIsValid = false; } if(isset($_POST['kids_nr']) == 1 && trim(strip_tags($_POST['kids_nr'])) != "") { $sNrKids = strip_tags($_POST['kids_nr']); } else { $sNrKids= ""; $sError .= "
  • numarul de copii
  • "; $bIsValid = false; } if(isset($_POST['nokids']) == 1) { $sNoKids = $_POST['nokids']; } else { $sNoKids= ""; $sError .= "
  • familie fara copii?
  • "; $bIsValid = false; } if(isset($_POST['workwith']) == 1) { $sWorkWith = $_POST['workwith']; } else { $sWorkWith= ""; $sError .= "
  • familie credincioasa?
  • "; $bIsValid = false; } if(isset($_POST['single_parent']) == 1) { $sSingleParent = $_POST['single_parent']; } else { $sSingleParent= ""; $sError .= "
  • familie cu un singur parinte?
  • "; $bIsValid = false; } if(isset($_POST['lang_en']) == 1 && trim(strip_tags($_POST['lang_en'])) != "") { $sLangEn = strip_tags($_POST['lang_en']); } else { $sLangEn= ""; $sError .= "
  • limba engleza
  • "; $bIsValid = false; } if(isset($_POST['lang_fr']) == 1 && trim(strip_tags($_POST['lang_fr'])) != "") { $sLangFr = strip_tags($_POST['lang_fr']); } else { $sLangFr= ""; $sError .= "
  • limba franceza
  • "; $bIsValid = false; } if(isset($_POST['lang_de']) == 1 && trim(strip_tags($_POST['lang_de'])) != "") { $sLangDe = strip_tags($_POST['lang_de']); } else { $sLangDe= ""; $sError .= "
  • limba germana
  • "; $bIsValid = false; } if(isset($_POST['lang_sp']) == 1 && trim(strip_tags($_POST['lang_sp'])) != "") { $sLangSp = strip_tags($_POST['lang_sp']); } else { $sLangSp= ""; $sError .= "
  • limba spaniola
  • "; $bIsValid = false; } if(isset($_POST['lang_other']) == 1 && trim(strip_tags($_POST['lang_other'])) != "") { $sLangOther = strip_tags($_POST['lang_other']); if(isset($_POST['other_lang']) == 1 && trim(strip_tags($_POST['other_lang'])) != "") { $sOtherLang = strip_tags($_POST['other_lang']); } else { $sOtherLang= ""; } } else { $sLangOther= ""; } if(isset($_POST['education']) == 1 && trim(strip_tags($_POST['education'])) != "") { $sEducation = strip_tags($_POST['education']); } else { $sEducation= ""; $sError .= "
  • studii
  • "; $bIsValid = false; } if(isset($_POST['live_in']) == 1) { $sLivein = $_POST['live_in']; } else { $sLivein= ""; $sError .= "
  • unde vreti la locuiti?
  • "; $bIsValid = false; } if(isset($_POST['letter']) == 1 && trim(strip_tags($_POST['letter'])) != "") { $sLetter = strip_tags($_POST['letter']); } else { $sLetter= ""; $sError .= "
  • scrisoare catre familie
  • "; $bIsValid = false; } if($bIsValid === true) { $to = "office@eurolife-consulting.ro"; $headers = "From: ".$sEmail."\r\n"; $subject = "Inregistrare"; $body = "Name: ".$sName."\r\n"; $body .= "Address: ".$sAddress."\r\n"; $body .= "County: ".$sCounty."\r\n"; $body .= "Gender: ".$sGender."\r\n"; $body .= "Birth day: ".$iBirthDay." ".$sBirthMonth." ".$iBirthYear."\r\n"; $body .= "E-mail: ".$sEmail."\r\n"; $body .= "Marital status: ".$sMaritalStatus."\r\n"; $body .= "Religion: ".$sReligion."\r\n"; $body .= "Religion accepted: ".$sReligionAccepted."\r\n"; $body .= "When can you start EARLIEST: ".$iStartMonth."/".$iStartYear."\r\n"; $body .= "When can you start LATEST: ".$iLatestStartMonth."/".$iLatestStartYear."\r\n"; $body .= "Minimum stay: ".$sMinStay."\r\n"; $body .= "Maximum stay: ".$sMaxStay."\r\n"; $body .= "Where do you want to be aupair: ".$sAupairWhere."\r\n"; $body .= "Do you have a driving license: ".$sDrivingLicense."\r\n"; $body .= "Can you swim: ".$sSwimming."\r\n"; $body .= "Are you willing to babysit: ".$sBabysitting."\r\n"; $body .= "Do housekeeping: ".$sHousekeeping."\r\n"; $body .= "Do you smoke: ".$sSmoking."\r\n"; $body .= "How many kids would you be happy to look after? ".$sNrKids."\r\n"; $body .= "Would you accept a family without kids? ".$sNoKids."\r\n"; $body .= "Are you willing to work with families of all ethic and religious backgrounds? ".$sWorkWith."\r\n"; $body .= "Would you accept a single-parent family? ".$sSingleParent."\r\n"; $body .= "Languages known? English: ".$sLangEn.", French: ".$sLangFr.", German: ".$sLangDe.", Spanish: ".$sLangSp.", ".$sLangOther.": ".$sOtherLang."\r\n"; $body .= "Education: ".$sEducation."\r\n"; $body .= "Would you prefer to be in a...? ".$sLivein."\r\n"; $body .= "Letter to family: ".$sLetter."\r\n"; if(mail($to, $subject, $body, $headers) == 1) { ?>

    Datele au fost transmise cu succes!

    A aparut o eroare la transmisia datelor

    Nu ati completat:

    Full name *
    (e.g. Popescu Elena)

    Address *

    (street, street no; block, apt. no; zip code, city.)

    County *


    Your gender *
    Male Female

    Birth date *
    (e.g. 12 January 1980)

    Phone number *
    (e.g.: +40 235 123 456)

    Email address *
    (use a valid e-mail address)

    Marital status: *
    (only single persons may apply)

    Your religion:*


    Religion accepted: *


    When can you start EARLIEST? *


    When can you start LATEST? *


    Minimum stay *


    Maximum lenght of stay *


    Where do you want to be aupair *
     

    Do you have a driving license? *
    No Yes

    Can you swim? *
    No Yes

    Are you willing to:

    Babysit *
    No Yes

    Do housekeeping *
    No Yes

    Do you smoke ?*
    No Yes

    How many kids would you be happy to look after? *


    Would you accept a family without kids? *
    No Yes

    Are you willing to work with families of all ethic and religious backgrounds? *
    No Yes

    Would you accept a single-parent family? *
    No Yes, just mother Yes, just father Yes, any

    Languages known (level - 0 -none, 5- fluent)
    English
    French
    German
    Spanish


    Education: (select the latest form completed)*

    Would you prefer to be in a...? *
     city rural area any area 
    Letter to family * ( use ENGLISH please! And provide lots of details. Nu introduceti adrese de email sau numere de telefon.)


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