Application form – French exchange program 2023/2024 22

Family name : ____________________First name(s) : ________________

Date of birth : ________________________
Address : ____________________________________________________
Applicant telephone number : ____________________________
Applicant email : ___________________________________

Mother name : ________________________

Mother email : ________________________

Mother telephone : ____________________

Mother occupation : ________________________________________

Father name : _______________________

Father email : _________________

Father telephone : _____________

Father occupation : __________________________________________

Who else lives at home with you? (Parents, siblings, pets, names and
ages)
______________________________________________________________
______________________________________________________________

Do you need special food? (Vegetarian, gluten free, halal kosher….etc)

______________________________________________________________
______________________________________________________________
Favorite Subject
______________________________________________________________
Hobbies/interests
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________

Describe some typical activities that your family would undertake

on the weekend
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________

Write a short paragraph about yourself

______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________

What do you hope to gain from this exchange?

______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________

Please tick 5 characteristics

Well organized - Sporty Outgoing -Fun loving - Easy going

______________________________________________________________
______________________________________________________________
______________________________________________________________
Please include photo of yourself and your family
on this document