Sprachcaffe Languages PLUS High School EN 2021

71 TERMS & CONDITIONS / APPLICATION PERSONAL DETAILS: Surname Given names (as written in your passport) Address Tel. Tel. (parents) E-Mail of applicant E-Mail of parents DOB Nationality Name of legal representative Profession of parents Vegetarian yes no Allergies/ illnesses no Yes, please provide details Date/place Student's signature Signature of legal representative MY SCHOOL Name of school Address Name of teacher Current year at school Average grade last certificate English grade last year Language training since TENTATIVE HIGH SCHOOL APPLICATION I HEREBY APPLY FOR THE HIGH SCHOOL PROGRAMME IN: USA Program: Months: From month: CANADA Province/School district* Months: From month: NEW ZEALAND School* 4 weeks 6 weeks From month: 1 2 3 4 Terms AUSTRALIA School* 1 2 3 4 Terms From month: GREAT BRITAIN 4 Weeks 6 Weeks 1 1,5 3 Terms From month: IRELAND School* 1 2 3 Terms From month: FRANCE 3 Months Semester School year From month: SPAIN 3 Months Semester School year From month: ITALY 3 Months Semester School year From month: SCANDINAVIA Country 3 Months Semester School year From month: Other countries Country 3 Months Semester School year From month: departure 2022 departure 2023 Please send your tentative high school application to highschools@sprachcaffe.com.

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