Your Education, Pre Apply

Your Education High School Exchanges

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New Zealand Exchanges

APPLY WITH US!

APPLY WITH US TO START YOUR ADVENTURE!

YOUR PERSONAL DETAILS:

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Gender *

Male Female

Phone Number *

Home Phone Number *

Email *

Birth Date (DD/MM/YYYY) *

Expected age when starting your exchange *

What passport do your currently hold? *

YOUR PARENTS DETAILS:

Primary Guardian name *

Primary Guardian's email address *

Primary Guardian's mobile phone number *

Secondary Guardian's name *

Secondary Guardian's email address *

Secondary Guardian's mobile phone number *

Who do you live with? *

Father Mother Both Parents Guardian

YOUR SCHOOL INFORMATION:

Which high school are you currently enrolled at? *

Current Year Level *

I'M INTERESTED IN GOING TO:

Which country are you interested in? *

Austria Canada Chile Denmark Finland France Germany Ireland Italy Japan Norway Spain Sweden The Netherlands United Kingdom (Short term) USA USA California (Short term) USA Indiana (Short term)

Departure Year *

Departure Month *

Duration wanting to go on a High School Exchange *

ADDITIONAL INFORMATION:

Have you or your parents been to an Information Meeting? *

Yes No

Have you applied with another organisation? *

Yes No

How would you like to be contacted? *

Would you like a copy of our brochure? *

My postal address is: *

Which is your nearest city? *

How did you hear about Your Education? *

Any additional comments to add to your pre-application? *

By submitting this application, I give my permission to Your Education, to send me information. Also, I am aware of the non-refundable $50 Application fee.

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Home
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NEWS!
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New Zealand Exchanges

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