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Become an ASSE High School Exchange Student – Preliminary Application

If you are interested in becoming an ASSE Exchange Student, please complete and submit this Preliminary Application form electronically using a credit card OR you may mail a check or money order for the Preliminary Application Fee (Exclusive of Program Fee) of $350 to ASSE. This Preliminary Application Fee is non-refundable.

Early Application Discount (High School Year Program)

If you submit your Preliminary Application and Fee, completed Application Packet and Full Program Fee by:

15 December: Programs starting July / August / September
15 May: Programs starting January / February / March / May

You will receive a 10% reduction in the Program Fee (excluding the Preliminary Application Fee) for applying early.

Preliminary Application

Application High School english

I'm interested in: *

School Year Program

School Semester Program

Summer programs

Date of departures *

Years * Years

ASSE Representative (if any):

Gender *

Male

Female

Last and first name *

Last and first name

First name

Last name

Home Address (Street): *

Home Address (Street):

City

State

Zip

E-Mail *

Cell Phone *

Date of birth: Day *

Month *

Year *

Parent One *

E-Mail *

Cell Phone *

Parent Two *

E-Mail *

Cell Phone *

Do you have any health problems or disabilities to be considered? If YES, please explain.

Do you have a preference of countries? * Do you have a preference of countries?

Do you have a preference of countries? Do you have a preference of countries?

Name of High School *

Name of teacher/counselor (if any) who told you about ASSE

Address (Street) *

Address (Street)

City

State

Zip

Current High School Year *

Current Grade Average *

Last Year Grade Average *

Have you studied a foreign language?

How many years?

Have you studied a foreign language?

How many years?

Have you studied a foreign language?

How many years?

Do you smoke? *

Yes

Which (if any) foreign countries have you visited?

In a few words, why do you wish to become an ASSE Exchange Student? *

How did you first learn about the ASSE Exchange Program? *

Pre-Application Fee $300 (Non-Refundable) *

Pay by Credit Card (Visa, MasterCard, American Express and Discover)

Pay by cashier's check, money order or bank transfer

Credit Card Number *

Expiration Date *

Security Code *

Cardholder Name *

Cardholder ZIP Code *

By submitting this form, I agree that my credit card will be charged the $300 pre-application fee.

All candidates for acceptance in the ASSE/World Heritage Exchange Program must complete the Preliminary Application form in full and mail in a $300 payment for processing. This Preliminary Application Fee is non-refundable. Consideration for acceptance and country of preference will be based upon your qualifications and the date of receipt of the preliminary application.

Please send your check or money order to:

ASSE Head Office
228 North Coast Hwy
Laguna Beach, CA 92651

Data protection *

I have read the privacy policy and accept it.

Terms and conditions *

I agree to the terms and conditions of the ASSE Student Exchange Program outlined in the most current brochure

If you are human, leave this field blank.

Have a Question?

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Name *

Name

Last name

First Name

Phone Number

E-Mail *

State *

Ask us your question: *

If you are human, leave this field blank.

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Do you have any questions?

+1 800 333 3802
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Become an ASSE High School Exchange Student – Preliminary Application

Early Application Discount (High School Year Program)

Preliminary Application

Have a Question?

Popular Programs :

Study Abroad in France

Study Abroad in France

Study Abroad in Italy

Study Abroad in Italy

Study Abroad in Spain

Study Abroad in Spain

Study Abroad in Japan

Study Abroad in Japan

Study Abroad in Australia

Study Abroad in Australia

Free brochure

Do you have any questions?

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