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 Folk
	Art Class
	Travel Class

	When and for how long?
	23.08.09 - 19.12.09 (17 weeks)
	10.01.10 - 19.06.10 (23 weeks)
	28.02.10 - 19.06.10 (16 weeks)
	28.03.10 - 19.06.10 (12 weeks)
	28.08.10 - 18.12.10 (17 weeks)
	10.10.10 - 18.12.10 (10 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