If school, please specify below.
High School Dramatic Arts Music Art/Design Technical

Other (please specify)  

Name of Representative:  

Position:                   

Address                             

City:                 

State/Province:

Country:          

Tel:     Fax:     

E-Mail: Website:

School Exchange Youth/Young Adult Exchange

Age group of participants:

What kind of exchange are you looking for?

Educational Cultural (music, dance, folklore, theatre)
Specialised Subject (please specify)

Duration of exchange
1 week 10 days 2 weeks Longer than 2 weeks

Type of accommodation: Home Hospitality Hostel Other

Do you receive a grant? Yes No

Who are you recognised and supported by:
Municipality National Government Region National Organisation

Please give name:

State with which country/countries you would like an exchange (in order of preference)

Approximate dates for exchange
Date:

Approximate dates for reciprocity visit
Date:

Language/s spoken by your group
English German French Spanish Italian Other

Please specify what you wish to achieve through the exchange: