عربي
أكاديمية الألسن الأردنية للغات مختصون في تعليم اللغة العربية لغير الناطقين بها
Jordan Language Academy specialized in teaching arabic as a second language
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Guest Student Application
About you
Family name *:
Given names *:
Gender *
male
female
date of birth *:
Address
City /Suburb
Province/State
Postal Code
Country
Please Note: Include your country and area codes e.g. +65 99999 9999
Home phone
Fax number
Email *:
Confirm Email *:
Religion *:
Your health & diet...
Smoker
Allergies
Dietary needs
Your family...
Father's details
Occupation
Father's name
Mother's details
Occupation
Mother's name
Parent's Address
Please Note: Include your country and area codes e.g. +65 99999 9999
Home phone
Fax number
Emergency Contact In case we can't reach your parents...
Name
Home phone
Relationship
About your trip...
Arrival Date
Arrival Time
Airline
Flight Number
Airport transfer (one-way only)
Length of stay
Application Form
The information you provide in this Application will assist us to place you with a suitable host family. Our goal is to ensure that your stay in Jordan is as memorable an experience as possible for you, an experience you can remember and cherish your entire life.
Fields marked with (*) are required.
I understand that by submitting my Application to Home stay ( Jordan Language Academy) that I will be bound by the Home stay Terms and Conditions and any additional terms and conditions advised to me either electronically or in writing from time to time by Home stay( Jordan Language Academy )
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