| Personal Details |
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| Family Name |
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| Given Name |
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| Address |
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| Email |
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| Re-enter Email |
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Telephone |
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| Nationality |
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| Gender |
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Date of Birth |
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| Year |
Month |
Day |
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| Religion |
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Sporting Interests |
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American Football
Athletics
Baseball
Basketball
Cricket
Cross Country
Equestrian
Golf
Handball
Rugby
Soccer
Softball
Swimming
Tennis
Volleyball
Other
None
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| Education Details |
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| Your School Details |
| Name of High School |
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| Town/City |
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| Country |
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| Your English Details |
| English Language Level |
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| TOEFL |
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| IELTS |
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Your Study Details (Please note: not all these fields will be relevant to you - don't worry if you have to leave some blank boxes). |
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Type of High School Diploma(s) /Curriculum (eg. British, Malaysian etc.) |
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| International Baccalaureate (I.B.) |
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| I.B. Level |
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| Total I.B. Score (if known) |
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| I.B. Subjects |
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A Levels and AS Levels
Where known, give details of subjects, grades and completion dates |
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GCSE/IGCSE
Where known, give details of subjects, grades and completion dates |
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A.P.
Where known, give details of subjects, grades and completion dates |
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SAT
Where known, give details of subjects, grades and completion dates |
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| Other qualifications studying or completed with grades |
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| Study Preferences |
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| Date to Start Study |
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Choose Country/ies of Study |
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Australia
Canada (English)
Canada (French)
Ireland
New Zealand
United Kingdom
United States
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Type of Institution |
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University/College
Community College
Distance Learning
TAFE
Language Academy
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| Choose Study Subjects |
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Use your Ctrl key to select multiple options |
| Business & Social Science |
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| Science |
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| Engineering |
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| Arts & Humanities |
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| Languages |
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| Medical & Related |
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| Other, not listed above |
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| Additional Information |
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| How are you Funded? |
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| Do you require Information on |
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Banking
Medical/Tavel Insurance
Flight Info
Visa Information
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| Please leave us with additional information on yourself that will benefit your future institution |
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