F-1 Program Request Form

Please complete this form so that we can send you more detailed information about the F-1 Middle & High School Program. To expedite the program process, include as much information as you have available.

Basic Information 

MM/DD/YYYY


 
Parent 1
This email field is required. Please list a parent's email address here. Be sure to spell the email address correctly as to avoid errors upon submitting your form.

Parent 2
If there is no email for this field, leave it BLANK. Do not type in "N/A" or "none"

Program Details

Example: 2014
  
Language Level


mm/dd/yyyy

  
Budget
Please select a Program Length above in order to select a budget category here. The program price includes 1) tuition and registration, 2) host family stay, 3) local coordinator supervision, 4) IQ program fee and 5) medical insurance. The price does not include airfare or visa fees.
  
School Type & Location
   
School Preferences & Priorities
Please mark the following preferences from 1 to 7  (1=Most Important and 7=Least Important)
Enter a number from 1 to 7
Enter a number from 1 to 7
Enter a number from 1 to 7
Enter a number from 1 to 7
Enter a number from 1 to 7
Enter a number from 1 to 7
Enter a number from 1 to 7
   
Previous Exchange Program




   
Additional Notes


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