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Please complete this form in block letters and mail or fax it to your local EF sales office.

Student personal data

! Male ! Female

Family Name First Name(s)

Street Address City Postal Code

Country Date of Birth (day/month/year) Email

Telephone Number Mobile Number Fax Number

Did you hear about EF through a representative? If yes, what was the name of the EF representative?

Parent/legal guardian

Name of Parent/Legal Guardian

Address (if other than above) City Postal Code

Telephone Number Mobile Number Fax Number

Current/previous education

School Name School Address

Class and Grade Point Average University/Career Choice (if known)

Course information

IB Diploma Programme2010 September (6 terms/2 years) !" !" !

2011 September (6 terms/2 years) !" !" !" "

2012 January (6 terms/2 years) " " " !

2012 September (6 terms/2 years) !" !" !" " " !

A-Level Programme 2010 January (5 terms/2 years) !" !

2010 September (6 terms/2 years) !" !" "

2011 January (5 terms/2 years) !" !"

2011 September (6 terms/2 years) !" !

2012 January (5 terms/2 years) !" !" !" "

2012 September (6 terms/2 years) !" !" " !" "

High School Preparation Programme2010 January (2 terms) !" !" !" "

2010 September (3 terms) !" !" !" " "

2011 January (2 terms) !" !" ! 2011 January (3 terms) !

2011 September (3 terms) !" !" ! ! !

2012 January (2 terms) !" !" !" " !" !

2012 January (3 terms) " " " !

2012 September (3 terms) !" !" !" " !" !

American High School Grade 9-102010 September (6 terms/2 years) !

2011 September (6 terms/2 years) !

2012 September (6 terms/2 years) !

EF International Academy in New York and Torquay are IB World Schools, offering the IB Diploma Programme. EF International Academy in Oxford and Vancouver are candidate schools* for the International Baccalaureate Diploma Programme. These schools are pursuing authorisation as IB World Schools. These are schools that share a common philosophy – a commitment to high quality, challenging, international education that EF International Academy!believes is important for our students. EF International Academy in Brisbane and Singapore are schools interested in pursuing authorization as an IB World School delivering the Diploma Programme. *Only schools authorised by the IB organisation can offer any of its three academic programmes: the Primary Years Programme (PYP), the Middle Years Programme (MYP), or the Diploma Programme. Candidate status gives no guarantee that authorisation will be granted. For further information about the IB and its programmes, visit http://www.ibo.org.

Accommodation

Homestay – shared (incl. in course price) !" !" !" !" !" Residence – shared* (triple incl. in New York course price only) !" " !

Homestay – single* !" !" !" !" !" Residence – twin* !" !"

Residence – single* !" !" !

*Homestay twin accomodation is included in the course price for Oxfortd, Torquay, Brisbane, Singapore, and Vancouver. Shared residence hall accomodation in triple rooms is included in the course price for New York. For prices pertaining to homestay single accomodation in all schools or twin/single residence accomodation in New York, Oxford, or Vancouver, please refer to page 41 to 51 in the EF Inter-national Academy brochure or contact your local EF office.

Do you smoke? ! Yes ! No Special dietary requirements (halal, vegetarian, food allergies, etc)?:

Do you have any existing medical conditions/allergies? ! Yes ! No If yes, please specify:

Optional EF Travel Services

An additional fee will be charged for these services. For prices please refer to page 41 to 51 and the Terms & Conditions or contact your local EF office.

Do you wish to take the Erika Medical and Accident policy? ! Yes ! No Do you wish us to arrange your onward transfer from your arrival airport to your school or host family? ! Yes ! NoDo you wish to talk to us about arranging your flight? ! Yes ! No Do you wish to use EF Visa Service? ! Yes ! No

UndertakingI apply to enrol the person named as a student of EF International Academy. I have read and agree to the conditions outlined on the overleaf. I undertake to pay all tuition, accomodation, and associated fees incurred by the student as they become due in accordance with the General Conditions. I authorise EF International Academy to take appropriate action in the event of a medical emergency. The signature below as a parent/guardian will also constitute my consent for the student to participate in all EF International Academy programmes, including activities offered.

Document checklist! Academic transcript signed by the current high school in native language with official

school stamp! Academic transcript signed by the current high school in English! Confirmation of high school grade the student is about to complete

! Letter of Recommendation from high school! Personal statement including reasons for studying abroad, academic goals, chosen de-

gree, and professional goals! EF International Academy English language test or QPT/TOEFL/SLEP/IELTS score if taken

Signature of Parent or Legal Guardian Date

Application for Admission 2010-2012#

International Academy

New Yo

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Vanc

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Oxford

Oxford

Torqu

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Singap

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Vanc

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Brisba

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New Yo

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Oxford

Torqu

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Singap

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Vanc

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Brisba

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Oxford

Torqu

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Singap

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Vanc

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Brisba

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2010/11 International Academy e-brochure - Russia