Program name Please selectHigh School Academic YearHigh School SemesterHigh School Term Gender Please selectFemaleMaleDiverse First name Last name Phone Email Home country Date of birth Desired program start Please selectJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Program year Please select2023202420252026 Your request Im fully vaccinated for measles (2 vaccinations) I consent according to the privacy policy to having Ayusa International e.V. collect and process my personal data in order to determine whether I meet the requirements of the high school program and to contact me accordingly. I give this permission freely and by my own choice. I understand that I can revoke this permission at any time. I further understand that not granting Ayusa International e.V. permission might result in me not being able to take part in the program. * Leave this field blank
