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Rassias Language Programs -- High School Summer Abroad Application
Before you complete this application, please call us to let us know you are applying and also to check on space
availability. By doing this, we are alerted to your serious interest and can initiate the interview process, and know to expect your completed application, essays, and letter of reference.

There are four parts to the application process:
1. This application, which includes two essays for you to tell us about yourself and your goals for the summer.
2. One letter of reference from your language teacher. Send this link to your recommender: https://goo.gl/forms/UiCiRYUIgoQCu1lD3
3. Your deposit ($800) by mail.
4. An interview with one of our Managing Directors or Trip Staff, which we will conduct by Skype.

Rassias Language Programs
P.O. Box 5456
Hanover, NH
03755
(603) 643-3007
info@rassias.com

Email address *
Our Summer Programs take place in Arles, France (Provence) and Gijón, Spain (Principado de Asturias).
Trip Choice
Student Information *
Legal First and Last name as it appears on your passport.
Your answer
Passport # *
Your answer
Citzenship *
Your answer
Passport Place Issued *
Your answer
Passport Date of Expiration *
MM
/
DD
/
YYYY
Nickname
Your answer
Student Email *
Your answer
Student Phone Number *
Your answer
Student Gender *
Student Date of Birth *
MM
/
DD
/
YYYY
Student Age
Your answer
Student Essays
What occurrence in your life -- personal, school, or other experience -- has helped mold you into the person you are today? *
Your answer
What are your goals for this summer language program? How will you help us achieve these goals? What can we do to best help you reach these goals? *
Your answer
Parent/Guardian Information
Name(s) *
Your answer
Parent email(s) *
Your answer
Parent/Guardian Home Phone Number(s) *
Your answer
Parent/Guardian Cell Phone(s) *
Your answer
Emergency Contact Name and Relationship to Student *
Your answer
Emergency Contact Phone number *
Your answer
Applicant's School Information
School Name *
Your answer
Address
Your answer
Telephone *
Your answer
As of June 2019, what level of the target language will you have completed? *
Recommender 1 Name and Job Title *
Your answer
Recommender 1 Email *
Your answer
Please send this link to your recommender: https://goo.gl/forms/UiCiRYUIgoQCu1lD3 *
Required
What have you done for the past three summers? *
Your answer
Student signature *
Your answer
Parent Signature *
Your answer
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