Application Form for Summer High Schools

The Summer High School I want to participate in:

If my first choice is not avaible, I can also take part in:

or

Name:

Date of birth:

Address:

Postal / ZIP code:

City:

Country:

Phone number (include area codes):

E-mail (only one):

I am studying at:
I will enter upper secondary / high school
I have studied years at upper secondary / high school
other, what

Name of the school:

Languages I have studied:
A1 =
A2 =
B1 =
B2 =
B3 =

My biography / Reasons for applying to this Summer High School:

Courses I want to take in the Summer High School:
Major subjects:

I have participated in the Summer High School before. Where, when?