Enquiry Form

Tell us about yourself and the exchange you'd like to have
Please answer the below questions so we can provide you with the best programme choices (destination, host family and school) suited to your needs.
Personal Information
First Name*
Surname*
Preferred name
Gender*
- Male
- Female
- Other
Birthday*
Date Format: MM slash DD slash YYYY
Age (years)*
Email*
Phone
Preferred contact method
Address
School Information
School Name and School Year you're currently in
Have you studied another language before? If yes, for how long?
What are your average school grades?
Health Information
Do you have, or have you had, any illness or disability that has caused hospitalisation in the last three years? If yes, please explain.
Do you currently take any medication? If yes, please list the name/s and reason/s for the medication.
Do you have any allergies or dietary requirements? If yes, please explain
Your Exchange
What is your preferred exchange duration?
Where would you like to go? - please tell us your top 3 destination/country preferences
How did you hear about us?
Have you applied with other student exchange providers?
Any further comments or questions?

Tell us about yourself and the exchange you'd like to have