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Japanese Exchange Homestay Program – Expression of Interest
The exchange program will run from Wed 24 July to August 5
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* Indicates required question
Email
*
Your email
Parent/Guardian Name:
*
Please include both your first name and last name.
Your answer
Student Name:
*
Please include both the first name and last name of your child.
Your answer
Year Level
*
For example 7G, 12E
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Contact Number:
*
Your answer
Address:
*
Your answer
Host Student's Hobbies/interests:
*
Your answer
How you would like to spend the time with a Japanese
Your answer
Japanese Speaking Skills
Advanced (beyond VCE)
Intemediate (VCE)
Elementary (Years 9 to 10)
Beginner (Years 7 to 8)
Studying Italian
Clear selection
Are your family vegan?
Yes
No
Clear selection
Allergy Information
As some students have allergies, we also request the following information:
Are there any smokers in your household?
*
Yes
No
Pets Owned
*
Yes
No
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