You must have JavaScript enabled to use this form. Program name Please select High School Academic Year High School Semester High School Term Gender Please select Female Male Diverse First name Last name Phone Email Home country Date of birth Desired program start Please select January February March April May June July August September October November December Program year Please select 2027 2028 2029 2030 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