ABOUT YOU!

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* 1. Personal Details

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* 2. Date of Birth

Date

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* 3. Your Home Country

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* 4. I live with my

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* 5. Parent or Guardian 1:

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* 6. Parent or Guardian 2:

EDUCATION

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* 7. Current School Information

HEALTH & WELL-BEING
If you tick yes to any of the below questions one of our Program Managers will contact you to chat in person.  

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* 10. Dietary - Do you have any of the following dietary requirements?

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* 11. Medical - Do you have any of the following medical conditions?

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* 12. Medication - Are you currently taking any prescription medications?

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* 13. Counselling/Therapy - Have you participated in counselling/therapy in the past two years

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* 14. Allergies - Do you have any of the following allergies?

YOUR EXCHANGE PREFERENCES

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* 15. Desired length of program (select all that apply)

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* 16. Desired departure timeframe (please note all departures are not available for all programs)

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* 20. Where did you hear about YFU?

DECLARATION

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* 21. I confirm that all the information given in this application is accurate

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* 22. I confirm that my parent(s)/guardian(s) know of and agree to my applying for exchange

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* 23. Payment of your $100 Initial Application fee can be made by direct deposit. 

IF YOU LIVE IN AUSTRALIA:
Account Name       YFU Australia Ltd
BSB                           067-000
Account Number   10972978

IF YOU LIVE IN NEW ZEALAND:
Account Name        YFU Australia New Zealand
Account Number    12-3488-0010416-00

Please include your full name so we can identify your payment and email a screenshot of your payment to info@yfu.com.au or info@yfu.co.nz

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