Anmeldung – Mariengymnasium Papenburg

Name *

Gender *Gender/Geschlecht

Street and number *

Town

ZIP / Postleitzahl

Country

Telefon *

E-Mail *

Date of birth *

Country of birth *

Citizenship *

Smoking? *

Do you have pets? (specify if indoor/outdoor) *

Dietary restriction? *If yes, please tell us

Physical disabilities or allergies *

Cultural interests *Please describe your cultural interests

Sport interests *Please describe your sport interests

Have you ever been abroad? *Where? How long?

Fathers name

Telephone

Mothers name

Telephone

Does it make any difference to host a boy or a girl for your family? *

How far is your school from home? *

How do you get to school ? *

Upload a photo *

Keine Datei ausgewählt

Please upload a photo of you

Signature *

Anmeldung Austauschprogramme