Southern Cross Cultural Exchange - Preliminary Application 75 5 Govt Bank Charges

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)

28 October 2008
NSW:
Crows Nest Community Centre
2 Ernest Place,
Crows Nest,

28 October 2008
SA:
Enterprise House
136 Greenhill Rd
Unley.

28 October 2008
VIC:
Conochie Hall
2 Rochester Rd,
Canterbury.

Click here for 2008 session times.

Preliminary Application ($75 + $5 Govt/Bank Charges)

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

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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

	<< PREV NEXT >>

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

	<< PREV NEXT >>

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

	<< PREV NEXT >>

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

	<< PREV NEXT >>

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