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:

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

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:

Father's name *

Father's email address *

Father's mobile phone number *

Mother's name *

Mother's email address *

Mother's mobile phone number *

Who do you live with? *

Father Mother Both Parents

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? *

Argentina Austria Chile Denmark Finland France Germany Ireland Italy Japan Norway Spain Sweden Switzerland 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? *

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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New Zealand Exchanges

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