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					    Jeunesse des chantiers Marocains
           The association of
      Intercultural youth exchange


                                                                             Application For Cultural
                                                                                Program in Morocco
                                                                                               Please
                                                                                              Insert your
                                                                                              photo here
                                                                                              (Obligatory)


A. Details of the applicant
 Name
 Street address
 Postcode                                                       City
 Region                                                         Country
 Email                                                          Website
 Telephone                                                      Telefax
 Passport Number                                               Expiration
Date and place of birth                                         Gender
Occupation and Employer
(if a student, please indicate
school, field and level of
study):
Person to be contacted in
case of emergency (name,
relationship, phone, fax, or
e-mail):

B. Academic
Are you familiar with the
Arabic script?
Have you ever studied
Arabic before?
                                 Period of study(inc.hrs/wk)   Institution      Course Level
If yes:


How would you evaluate
your Spoken Arabic?(Poor,
fair,good,excellent)
Your Reading?
Your Writing?




    Ass. Jeunesse des chantiers Marocains                                         Version valid as of 1 January 2010
If English is not your native
Language, what’s your
level?
Do you have any
background in French? If
so, what’s your level?

Prefered program start date

How long would you like to
stay?

What are your goals in
applying for our program



C. Housing
Have you ever lived in an
Arab country before? If so
where?
Have you ever been in
Morocco before? If so,
when?
Will you require assistance
in finding housing during       ( ) homestay
your stay?                      ( ) good hotel [200+ DH/night]
If yes, please number your      ( ) modest hotel [90-200 DH/night]
preferences:                    ( ) cheap hotel [50-80 DH/night]
                                ( ) apartment alone
                                ( ) apartment to share with other students

Please indicate below any
preference you have
regarding housing and any
special needs or requests
that should be taken into
consideration in arranging
for your homestay or other
housing options such as
dietary restrictions,
allergies, etc. (use
additional page if
necessary):
Free comment



Place and Date:                                                   Signature:




Jeunesse des Chantiers Marocains JCM, BP 775 Gueliz Principal 40000, Marrakech, Morocco
Tel : +212 670962757
E-mail : internationalcamps@yahoo.com




    Ass. Jeunesse des chantiers Marocains                                      Version valid as of 1 January 2010

				
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posted:10/6/2011
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