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Europe:

Great Britain

France

Germany

Spain

Italy

Switzerland

Portugal

Sweden

Denmark

Norway

Finland

Czech Republic

Romania

Slovakia

Estonia

Moldova

Turkey

Belgium

Holland

Americas:

USA

Canada (Eng)

Canada (Fr)

Mexico

Brazil

Argentina

Africa:

South Africa

Asia/Pacific:

Japan

Thailand

China

Mongolia

Taiwan

Korea

Vietnam

Australia

ALL INCLUSIVE.

Fee includes language/culture

instruction, comprehensive insurance,

pre-departure orientation, etc.

RELIMINARY APPLICATION

f you are interested in being considered to become an ASSE High School Exchange Student, please

omplete this Preliminary Application form and return it to ASSE with a cheque in the amount of $250.

ROGRAM TYPE:

DEPARTING:

chool Year

Semester

month

year

ummer Language

Summer Homestay

month

year

SSE Representative: ( if any )

ull Name:

Sex: M F

ddress:

mail:

ome Phone: (

)

Cell Phone: ( )

Birthdate

Age

eight:

Weight:

Eye Colour:

amily: Mother’s Name

Age

Father’s Name

Age

Brother’s / Sister’s Name(s)

Age

Age

Age

o you smoke?

What is your current high school year?

urrent grade average?

Last year’s grade average?

ave you ever studied a foreign language?

f yes, which language(s) and how many years each?

o you have health problems or disabilities to be considered?

f yes, please explain

eligious preference (if any)?

re you religiously: very active

active

inactive

f you have a preference of countries please indicate below (number three preferences):

TEAR HERE

DAY MO YR

2017/2018 Program

FEES & TERMS

( Priced and payable in U.S. Dollars )

Preliminary Application Fee:

( Exclusive of Program Fee )

All Programs $250

All candidates for acceptance in the ASSE Exchange Program

must complete the attached Preliminary Application form

(or you can apply on-line) in full and submit it with a $250

cheque for processing to ASSE. This fee is refundable if you

are not accepted into the ASSE program. Consideration for

acceptance and country of preference will be based upon your

qualifications and the date of receipt of this application.

Program Fees: School Year or Semester**

( August/September 2017 Departure )***

Czech Rep Holland Switzerland

Spain

Norway Finland

Sweden Germany Portugal

Slovakia Belgium Romania

Denmark

$9150

France

$8900

Mexico

$7140

English Canada

$9850

English Canada Choice Plus:

Vancouver

$21000

Calgary

$20750

French Canada

$12000

Thailand

( July departure )

$7200

China, Taiwan, Mongolia, Vietnam

$8950

Semester only**

( August/September 2017 Departure )***

Great Britain

$8600

School Year or Semester**

( Spring 2018 Departure )***

Australia

( depart January )

$9650

Japan

( depart March )

$10500

Korea

( depart March )

$9800

Argentina, Brazil

( depart January )

$7050

South Africa

( depart January )

$8590

Thailand

( depart May )

$7000

Summer Homestay

– 6 weeks

( July 2017 Departure )

Sweden Spain Slovakia Norway

Finland Portugal Italy Turkey

Argentina Poland Romania Czech Rep

Estonia Germany Denmark

Brazil

$6800

Mexico

$6000

Japan, Korea, China, France

$7900

Thailand, Taiwan, Vietnam, Mongolia

$6000

Summer Language

– 4 weeks

( July 2017 Departure )

Spain

$5350

France

$6150

Germany

$7450

Note:

*Program fees subject to change due to major exchange

rate or airfare fluctuations.

**Due to variances in host country school start and end dates,

program group departures, compatibility with home country

and host country school terms, availability of suitable volunteer

host families, etc., School Year Program may start before or

after host country school start dates and may finish before or

after host country school end dates.

***Semester programs available to most year program

destinations.

† Program fee excludes airfare.

– Program fees include: Round trip international airfare from

New York to Europe and South Africa, from Miami to Brazil and

Argentina, from Los Angeles to Asia/Pacific. Summer and Year

programs between USA, Canada, and Mexico exclude airfare.

– Fees also include comprehensive health, accidental death and

travel insurance, host family recruitment and screening,

non-English speaking country language training (School Year

and Semester Programs only), and orientation.

– Program fees exclude: domestic travel from home to

international gateway city (special “youth fares” available upon

request), passport and visa fees, school uniforms (if required),

educational/recreational overnight field trips, school lunch

money (if necessary), and pocket money.

Turkey

Italy

Estonia

Moldova

$7850

Europe:

Great Britain

France

Germany

Spain

Italy

Switzerland

Portugal

Sweden

Denmark

Norway

Finland

Czech Republic

Romania

Slovakia

Estonia

Moldova

Turkey

Belgium

Holland

Americas:

USA

Canada (Eng)

Canada (Fr)

Mexico

Brazil

Argentina

Africa:

South Africa

Asia/Pacific:

Japan

Thailand

China

Mongolia

Taiwan

Korea

Vietnam

Australia

ALL NCLUSIVE.

F e incl des lang age/culture

instruction, comprehensive insurance,

pre-depar ure ori ntation, etc.

PRELIMINARY APPLICATION

If you are inter sted in being consid red to become an A SE High School Exchange Stud nt, please

compl te this Prelimin ry Application form and return it to ASSE with a c que in the amount of $250.

PROGRAM TYPE:

DEPARTING:

School Year

Semester

month

year

Summer Language

Su mer Homestay

month

year

ASSE Representative: ( if any )

Full Name:

Sex: M F

Address:

Email:

Home Phone: (

)

Cell Phone: ( )

Birthdate

Age

Height:

Weight:

Eye Colour:

Family: Mother’s Name

Age

Father’s Name

Age

Bro her’s / Sister’s Name(s)

Age

Age

Age

Do you smoke?

What is your current high school year?

Current grade average?

Last y ar’s grade average?

Have you ver studied forei n language?

If yes, which language(s) and how many years each?

Do you ave health p oblems or disa ilities to b considered?

If y s, lease explain

R ligious preference (if any)?

Are you religiously: very active

active

inactive

If you hav a prefere ce of countries please indicate below (number thr e preferences):

TEAR HERE

DAY MO YR

2017/2018 Program

F ES & TERMS

( Priced and payable in U.S. Dollars )

Preliminary Application Fee:

( Exclusive of Program Fee )

All Programs $250

All candidates for accep ance in the ASSE Exchange Program

mus complete the attached Preliminary Application form

(or you ca apply on-line) in f ll and submit it with a $250

cheque for processing to ASSE. This fee is r fundable if you

ar not accepted into the ASSE pr gram. Conside ation for

acceptance and country of preference will be based pon your

qualifications and the date of receipt of this application.

Program Fees: Sch ol Year or Semester**

( August/September 2017 Departure )***

Czech Rep Holland Switzerland

Spain

Norway Finland

Swed n Germany Portugal

Slovakia Belgiu Romania

Denmark

$9150

France

$8900

Mexico

$7140

E glish Canada

$9850

E glish Canada Choice Plus:

Vancouver

$21000

Calgary

$20750

French Canada

$12000

Thailand

( July departure )

$7200

Chi a, Taiwan, Mongolia, Vietnam

$8950

Semester only**

( August/September 2017 Departure )***

Great Britain

$8600

Sch ol Year or Semester**

( Spring 2018 Departure )***

Australia

( depart January )

$9650

Japan

( depart March )

$10500

Ko ea

( depart March )

$9800

Argentina, Brazil

( depart January )

$7050

South Af ic

( depart January )

$8590

Thailand

( depart May )

$7000

Su mer Homestay

– 6 weeks

( July 2017 Departure )

Sweden Spain Slovakia Norway

Finland Portugal Italy

Turkey

Argentina Poland Romania Czech Rep

Estonia Germa y Denmark

Brazil

$6800

Mexico

$6000

Japan, Korea, China, France

$7900

Thail d, Taiw n, Viet am, Mongolia

$6000

Summer Languag

– 4 weeks

( July 2017 Departure )

Spain

$5350

France

$6150

Germany

$7450

N te:

*Program fees subject to change due to m jor xchange

ate or airf re fluctuations.

**Due to variances in host ountry school start and end dates,

p gram group departures, compa ibility with home country

and host ountry school terms, availab lity of suitable volunteer

ho t families, etc., Scho l Year Program may start before or

after host ountry school start ates a d may inish before or

after host ountry school end dates.

***Semester progr ms available to most ye r program

de tinations.

† Program fe excludes airfare.

– Program fe s inclu e: Round trip i ternational airfare from

New York to Europe and South Africa, from Mi mi to Brazil and

Argentina, from Lo Angeles to Asia/Pacific. Summ r and Year

programs between USA Canada, and Mexico exclude airfare.

– Fees also include comprehensive health, ccident l eath and

t vel insurance, host family recruitment a d screening,

non-Engl sh speaking country language training (School Year

and Semester Programs only), and rientation.

– Program fe s exclude: dom stic travel from home to

i tern ion l gateway city (special “youth fares” available upon

request), passport and visa fees, school uniforms (if required),

educational/recreational ov rnight field trips, s ool lunch

mon y (if necessary), and pocket money.

Turkey

Italy

Estonia

Moldova

$7850