TWO WORLDS UNITED

Educational Foundation

Two Worlds United Preliminary Application Form

STUDENT EXCHANGE PROGRAMS: Year, Semester and Summer

If you are interested in being considered as a Two Worlds United High School Exchange Student, please print and complete this Preliminary

Application Form and send it by regular mail to Two Worlds United with a check in the amount of $95. We will send you the full application package.

First Name:

Last Name:

Sex: q Female q Male

Nationality:

Date of Birth: Age:

Native language:

Address:

City:

State:

Zip code:

Country:

1- Phone (H): ( )

2- Phone (H): ( )

Fax: ( )

E-mail:

I live with: q Both parents q Mother only q Father only q Other:

Program Interest

Applying for: Please check one: q Year q Semester q Summer Country of Choice:

Summer Programs (only)

Homestay q Language Program q

Duration (e.g. 4 weeks)

Program Code (if available)

Departing time (all programs) (e.g. March/2009)

Parent’s Data

I live with: q Both parents q Mother only q Father only q Other:

Mother’s name: Occupation: Work Phone:

age:

Father’s name: Occupation: Work Phone:

age:

Brother’s/Sister’s:

age:

Brother’s/Sister’s:

age:

Brother’s/Sister’s:

age:

What is your foreign language level? Beginner / Elementary / Intermediate / Advanced / Proficient

What other languages have you studied? Years of Study:

What are your interest and hobbies?

Have you participated in another Two Worlds United Language Program (e.g. group programs, Spain, Italy, Japan)? q Yes q No

School Data

School Name:

Grade level:

Current Academic GPA:

Foreign Language Teacher:

Guidance Counsellor’s name:

Do you have health problems or disabilities to be considered? If yes please explain:

Is there anything we need to know to find a suitable host family (e.g. diets, medical problems, allergy, dislike of certain pets)?

Remarks (e.g. Group or Joint Application – state the name of group/joint applicant):

Person to contact in case of emergency

Name:

Relationship (e.g. father):

Email:

Phone (H): ( )

Phone (W): ( )

Fax: ( )

I agree that the above information is true and documents given in support of my pre-application are complete and correct.

_____________________________________________________ _______________________

Signature of Student Date

_____________________________________________________ _______________________

Parent(s) or Guardian(s) Date

TWO WORLDS UNITED 503 East Jackson St. • Suite 250 • Tampa, FL 33602

Phone: (888) 696-8808 • Fax: (888) 848-4269

www. twoworldsunited.com

Preliminary Application process

Two Worlds United has a 3 step application process designed for your convenience. We will help you in the process of filling out the necessary forms and to select the program and the country that are right for you.

1. This Pre-application Form starts the process for enrollment in the program of your selection. It tells us that you want to participate in a Two Worlds United experience and indicates the program and country in which you are more interested at this time. When Two Worlds United receives this form and your $95 application fee (by money order, or check payable to Two Worlds United submitted by mail), Part 2 (the Application) will be sent to you.

2. The Full Application is an essential step towards your enrollment in the program. Your answers to the questions included in the Full Application will help determine your eligibility for a Two Worlds United program. Because some of this information is provided to your host country and host family, it is their first chance to get to know you.

3. The Interview, with a Two Worlds United Representative This step provides valuable information for you and your family, and gives you an excellent opportunity to begin thinking about what you want to gain from your Two Worlds United experience. It also gives us a chance to learn more about you and what you are looking for in an exchange experience, and to determine whether you and the Two Worlds United program you have chosen are a good match.

Two Worlds United has rolling admissions. Your place in a specific program cannot be awarded until we receive ALL your materials. Start the process now, so it can be completed as soon as possible.

INFORMATION

Personal expenses not covered in the program fee include items such as visa fees, travel and medical insurance, pocket money, transport to and from school, school lunches (if applicable), school uniforms, school activities, club fees, clothing, toiletries, and free-time travel. All students are required to have insurance against accident, ill health, repatriation, and additional coverage against third party liability. Two Worlds United Student Exchange offers a competitively priced insurance package which will be made available to you after your acceptance.

Interview and Selection for Summer and the Academic Programs

Once we have received your application, we will arrange a personal interview, which will be conducted in your home, school or at a convenient place nearby. If our interviewer feels that you possess the necessary maturity and that you have a positive attitude, he or she will recommend you for acceptance to the program. Based on the interview and your full application-which includes your school transcript, essay questions and letters of recommendation-you will be notified by the main office within two weeks whether you have been accepted into the program. After completing the necessary forms and making your initial payment of $950, your application will be sent to your destination country to be matched with a host family. Cancellation and Refund Policy If Two Worlds United is unable to place you in the country of your selection a full refund will be issued to the student less the pre-application fee of $95. If you cancel from the program for any reason after you have paid the first program fee installment of $950, cancellation fees may apply, depending on the date you withdraw.

Deadlines

Because space is limited, you should send in your application as soon as possible. Places will be reserved on a first-come, first served basis, so it is important that you apply early. The following are the pre-application deadline dates for our programs:

Fall departure - Year Programs May 30th

Winter departure - Year programs November 1st

Fall departure - Semester Programs May 30th

Winter departure - Semester Programs November 1st

Summer Programs - April 30^th

Late applications will have an additional fee of $550.

Insurance

Two Worlds United Student Exchange offers travel insurance coverage, which may be purchased by participants at a competitive rate. Information on this package will be sent to you once you are accepted to the program. All program participants are required to present proof of adequate coverage.

Wait for country guarantee

After you submit your application and it is reviewed by Two Worlds United-USA, your application will be forwarded to our office overseas for consideration. After the overseas office guarantees placement, you have 10 days to send in a non-refundable $950 deposit toward your full tuition.

Flight Information

Two Worlds United Student Exchange programs don’t include airfares. You can book your flight within the U.S. and internationally. Call us for prices!

For Study Abroad queries you can contact our Two Worlds United Online-Counseling Center. The Two Worlds United Counseling Service Center is available Monday through Friday from 9:00 am until 3:00 pm (Pacific Time). On weekends and USA public holidays from 9:00 am until 12:00 pm.

QUESTIONS? CALL US TOLL - FREE:

1-888-696-8808

or log on to: http://www.twoworldsunited.com/frequent_questions.html

or mail to:

TWO WORLDS UNITED Educational Foundation
503 E. Jackson St. Suite 250

Tampa, FL 33602
USA

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