Applications will not be reviewed until Language Link has received the following documents:

Completed Applicant Form
Participation Agreement Form
Copy of Passport (with photo)
Proof of Health/travel insurance

Session Dates:

Shirt Size:

First Name:

Middle Name:

Last Name: Family name as on passport

Gender:

Date of Birth: Month Day Year

Place of Birth: City State

Country of Birth:

Country of Citizenship:

Mailing Address:

Number, Street (no PO boxes)

City State/ Province

Country/Zip Code

Telephone # :

Email Address:

Passport Number:

Issue of Passport:

Place mm/ dd/ yr

Emergency Contact :

Name:

Address:

Telephone #:

Email address:

Cultural Experience Program Terms

IN APPLYING FOR THE LANGUAGE LINK CULTURAL EXPERIENCE PROGRAM, I UNDERSTAND AND AGREE TO THE FOLLOWING:

The purpose of the Cultural Experience Program is to improve my English communication skills and learn U.S. customs and cultures through a variety of academic, social, and cultural experiences.
This is an academic and cultural program, and I will be required to comply with the guidelines set forth by Language Link regarding appropriate conduct during my participation in the program.
I will be required to pay for any travel expenses to/from the program location, personal/travelers insurance, as well as any other personal expenses incurred during my participation in the program. However, I understand the cost of most meals/ activities (as indicated in the Participant Information Packet) will be covered by Language Link.
I will be required to participate in academic and service-oriented activities as part of my participation in the program.
I understand that the duration of the Cultural Experience Program is approximately two (2) weeks except for customized groups (three weeks, one month).
Any expenses incurred prior to or following the Cultural Experience Program will be my responsibility.

By submitting this online application, I certify that no promises or explanations regarding this program have been made to me by persons or agents representing Language Link, Inc. or any other agency that are inconsistent with the above mentioned terms and Participation Agreement. I certify that all the information I have furnished is complete and accurate. I understand that all application materials become the property of Language Link and are not returnable. I further give consent to and authorize Language Link to reproduce and use any and all photographs taken of me in relation to the Cultural Experience Program.

Applicant Name:

Passport Number:

Date: mm/ dd/ yr