Preliminary Application ($100 + $5 Govt/Bank Charges) - Southern Cross Cultural Exchange

What is student exchange

Student exchange programs

Information sessions

French Language Prep Classes

Hosting an exchange student

Questions & answers

Experience your world

Information Sessions
(7.30 - 9.00pm)

9 March 2010
VIC:
Conochie Hall,
2 Rochester Rd,
Canterbury.

9 March 2010
VIC:
Corio Library
Cox Rd (Cnr Moa St)
Norlane.

9 March 2010
SA:
Enterprise House
136 Greenhill Rd,
Unley.

9 March 2010
NSW:
Crows Nest Community Centre
2 Ernest Place,
Crows Nest,

23 March 2010
SA:
Enterprise House
136 Greenhill Rd
Unley.

23 March 2010
VIC:
Conochie Hall
2 Rochester Rd,
Canterbury.

Click here for 2010 session times.

Preliminary Application ($100 + $5 Govt/Bank Charges)

Unit:

Each

Complete this form to submit your preliminary application.

Step 1/11: Program
*Program Year
*Commencement Month
*Program Duration
*Preferred Country 1
*Preferred Country 2
*Preferred Country 3

Step 2/11: Applicant
*First Name
*Surname
*Address
*State
*Postcode
*Phone
*Mobile
*Fax
*Email Address
*Date of Birth
*Country of Birth
*Gender
*Citizenship
*Passport (Country & No.)
*Name of Parent or Guardian with whom you live

Step 3/11: Father or Legal Guardian
*First Name
*Surname
*Address
*State
*Postcode
*Phone
*Mobile
*Fax
*Email Address
*Occupation
*Company Name
*Work Address
*State
*Postcode
*Work Phone
*Work Fax
*Work Email
*Nature of Business

Step 4/11: Mother or Legal Guardian
*First Name
*Surname
*Address
*State
*Postcode
*Phone
*Mobile
*Fax
*Email Address
*Occupation
*Company Name
*Work Address
*State
*Postcode
*Work Phone
*Work Fax
*Work Email
*Nature of Business

Step 5/11: Brothers & Sisters
Name
Age
Gender
Living at Home?
Name
Age
Gender
Living at Home?
Name
Age
Gender
Living at Home?

Step 6/11: School
*School Name
*Principal
*Address
*State
*Postcode
*Phone
*Fax
*Email Address
*Other Schools Attended within last 3 years (Name, Address and Dates)
*Current Year Level
*Average Mark Last Report

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