If you are interested in applying to The Guarasci Exchange Program
please fill out our on-line application form below.
 
Application Form
Name:
Male Female
Date of Birth: Month Day Year
Complete Address:
Phone Number: (including Area Code)
Fax Number: (including Area Code)
E-Mail Address:
Parent's Name:
Father Mother
Emergency Contact Numbers:
Would you be providing your own medical coverage? Yes No
This program provides medical coverage. Do you request ours? Yes No
What type of education are you requesting:
High School College
University Language Institute
Private English Second Language Tutoring by Program
How long do you wish to study in Canada? From To
Are you allergic to animals, smoke, etc?
Please list all other things you are allergic to.
Do you want to stay in a home stay by yourself or share?

Please look over the application form carefully to make the right choice for you. If you decide once you're in a program that you would like to change to another type of education, your co-ordinator will assist you in these arrangements during your stay, to accommodate you to the best of their abilities.

 

           

Thank you for your interest in The Guarasci Exchange Program.
We hope to hear from you soon.