Sojourns Abroad - Application

Siena

Paris

Sojourns Abroad Application:

Applicant Information: Center to which you are applying:
Siena Paris
Session/s: Fall Spring Year:

Applicant's Name
Male Female
Application Date:
Date of Birth: Age:

Address line 1:
Address line 2:
City:
State: Zip:
Tel. Home: Cell:
E-Mail: Fax:

Parent/guardian contact information: Mother's Name:
Address:
Tel. Home: Work:
Cell:
E-Mail: Fax:

Father's Name:
Address:
Tel. Home: Work:
Cell:
E-Mail: Fax:

For Students: Name of High School:
Yr. of graduation:
College or university Undergraduate: Fr Soph Jr Sr
Recent college graduate, yr: Graduate student
Currently enrolled On leave of absence Deferred admission
Deferred from which institution?
Until what date?
Withdrawn from college
Occupation, for other than students:
How did you learn of Sojourns Abroad?
Have you been to Europe?
To Italy? Spain? France?
To Siena? Paris?

Do you speak or have you studied:

Italian
At what level Italian would you describe yourself? Beginner
Advanced Beginner Intermediate Advanced Fluent

French
At what level French would you describe yourself? Beginner
Advanced Beginner Intermediate Advanced Fluent

Other languages studied:
Because food plays a major role in each country's culture, we'd like to know: Are you vegetarian?
Yes No Other
List any food, animal or environmental allergies:

Please describe any of your special interests, hobbies, pursuits:
Is there anything you would like us to know that would merit or require our consideration?

Personal Statement: Please write about your interest in joining Sojourns Abroad. Mention any special interests you would like to pursue, personal goals or objectives you have, or any information that would help us to get to know you.

Terms I have read and agree to the Terms & Conditions

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Sojourns Abroad • PO Box 1171 • Manchester, VT • 05254 • USA
Tel./Fax. 802.362.5855 • info@sojournsabroad.org • www.sojournsabroad.org