WORLDLINK EDUCATION APPLICATION FORM FOR STUDY ABROAD PROGRAM IN SPAIN NOTE: Application should be made at least 4 weeks before first day of course. Please write clearly and in CAPITAL letters.

1. PERSONAL DETAILS

LAST NAME	FIRST NAMES
TITLE         MR / MRS / MISS	GENDER         MALE / FEMALE
NATIONALITY	NATIVE LANGUAGE
DATE OF BIRTH (DAY - MONTH - YEAR)	AGE
PASSPORT NO	OCCUPATION

HOME ADDRESS (INCLUDE STATE, COUNTRY & ZIP CODE)

PHONE (                )     (           ) Country Code     City Code	FAX (                )     (           ) Country Code     City Code
EMAIL ADDRESS	WORK NUMBER (                )     (           ) Country Code     City Code

2. COURSE SELECTED

PLACE OF STUDY (CITY & COUNTRY)	START                                     END TO DAY - MONTH - YEAR                 DAY- MONTH - YEAR
COURSE TITLE e.g. LONG DURATION 24 WEEKS	COURSE CODE (if available)
COURSE INTENSITY eg. Semi-Intensive (if applicable)	COURSE FEE (do not include Application Fee or extras) US $
HOST SCHOOL	SUPPLEMENTS OR ADDITIONAL CHARGES (if applicable) e.g. extra nights accommodation

FOR LONG DURATION STUDY & TRAVEL 12 WEEKS COURSE APPLICANTS ONLY: START DATE TO FINISH DATE        /             CITY             /             NO OF WEEKS ................................................/................................./...................................... ................................................/................................./...................................... ................................................/................................./...................................... ................................................/................................./......................................

3. PREVIOUS SPANISH LANGUAGE STUDIES (if applicable)

TIME (MONTH-YEAR)	NAME OF INSTITUTION	HOURS / WEEK	LEVEL

4. If <0> is a complete beginner level and <9> is a fluent speaker, what is your level?

0    1    2    3    4    5    6    7    8    9

5.What other Language/s have you studied? _______________________________________

6. How did you hear about this Spanish Language program? _______________________________________

7. NEXT OF KIN DETAILS

NAME	RELATIONSHIP eg. father
PHONE NUMBER (                )     (           ) Country Code     City Code	WORK NUMBER (                )     (           ) Country Code     City Code

8. ACCOMMODATION SELECTED

TYPE OF ACCOMMODATION eg. Host Family	MEALS (if applicable) HALF BOARD / FULL BOARD
ARRIVAL DATE( DAY / DATE / MONTH / YEAR)	DEPARTURE DATE ( DAY / DATE / MONTH / YEAR)

9. Do you smoke?     YES / NO

10. Do you mind living with someone who smokes?     YES / NO

11. Is there anything we need to know in order to find you a suitable family?
(such as diets, medical problems, allergies, dislike of certain pets).

______________________________________________________

______________________________________________________

12. Remarks (eg. Alumni, Joint Application or Sharing room with Joint Applicant)

________________________________________________________________________________

________________________________________________________________________________

I declare that the above information is true and correct and I agree to abide by all WorldLink Education's terms and conditions, and the host school's regulations.

Signature of student PARENT or GUARDIAN if applicant is under 18 ________________________________________

Date ________________________________________

NOTE: Application Procedure:

First, FAX (1) this Application Form (2) Passport Copy (one page with personal details and passport information) and (3) Copy of Bank Receipt or Bank Check to show payment of Application Fee to: "Admissions Section, WLE Europe Office" Fax No: +46 35 10 66 85

Secondly, SEND originals together with 2 passport size photos to:

"Admissions Section, WorldLink Education Europe Office, Storgatan 24, Halmstad 30243, Sweden"

Applicants under the age of 18 years: Written consent by the applicant's parent or guardian is required to be submitted during Application.