Adventure Application Form

Collect a young adventurer's personal, family, and personality details before matching them with a host family for a reciprocal exchange program.

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Adventurer's Name*

First Name

Last Name

Gender*

Date of Birth*

Family Email Address*

Mailing Address

City and Postal Code*

Mobile Phone Number (WhatsApp, Telegram, WeChat, etc.)*

Preferred Countries for the Reciprocal Exchange (select at least 3 countries with different languages)

France Germany Japan Brazil Italy South Korea

Ideal Length of Stay (since this is a reciprocal exchange, more flexibility is better)

2 Weeks 1 Month 3 Months 6 Months 1 Year Flexible

Describe the Future Adventurer's Personality

What Sports Do They Practice?

What Instrument Do They Play?

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