Brenderup Højskole

Application Form - Foreign Students

Name		Date of birth
Nationality
Address
Phone
E-mail
Male		Female
Prior education
	I'd hereby like to apply for:
	International Class
	Danish Class
	Global Music
	Art Class
	Travel Class

	When and for how long?
	05.01.12 - 13-06.12 (23 weeks)
	23.02.12 - 13.06.12 (16 weeks)
	22.03.12 - 13.06.12 (12 weeks)
	14.08.12 - 13.06.13 (41 weeks)
	14.08.12 - 17.12.12 (18 weeks)
	25.09.12 - 17.12.12 (12 weeks)
	04.01.13 - 13-06.13 (23 weeks)
	22.02.13 - 13.06.13 (16 weeks)
	22.03.13 - 13.06.13 (12 weeks)

	Accommodation
	Single room
	Double room

	Are you a vegetarian?
	Yes

	Do you smoke?
	Yes
	No

	How will your stay be financed?
	Personal Savings
	Cirius Program
	Other:

Brenderup Højskole ::: Stationsvej 54 ::: 5464 Brenderup ::: Tlf: 64 44 24 14 ::: Fax: 64 44 23 37 ::: kontor@brenderuphojskole.dk