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more information
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How to Apply
Start Dates
Info/Conditions
Application Form
Student Visa
Requirements / Insurance
Last Name
First Name
Address Street/No.
City :
Country:
PostalCode:
Phone (home):
Phone (business):
Fax:
E-mail Address:
Male
Female
Date of Birth (day/month/year):
Native Language:
Nationality:
Profession:
Language Course
Program :
Duration:
Start Date:
*Private Courses
hours per week
*Focus International can help you arrange tests for TOEFL, TOEIC, and Cambridge
Accommodation
My accommodation will be organized by:
Focus International*
myself
* If your accommodation will be organized by Focus International, please check your options:
Accommodation organized by Focus:
Host family
Alternative accommodation**
** For alternative accommodation, please contact Focus.
Type of room:
Single
Double (shared with another student)
Do you smoke?
Yes
No
Do you mind if the family smokes?
Yes
No
Do you like pets?
Yes
No
Would you like a family with children?
Yes
No
Would you like a family with teenagers?
Yes
No
Do you have any special requests for your homestay?
What are your hobbies and interests?
What is your check-in date?
What is your departure date?
Do you have any special needs or remarks (allergies, vegetarian, etc)?
Travel Arrangements
Airport pick up service
Yes
No
Arrival date:
Arrival time:
Airline:
Flight number:
Departure date:
I have read and agree to the terms of the “General Information and Conditions”.
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