How to apply

Inquiry Form for Students

Complete the form below. Information with red asterisk is mandatory to fill out. A My American Year staff member will respond to your inquiry with 48 hours. Thank you.

Student's First Name: *
Student's Surname (last name): *
Gender: *
Birth Date: *
Birth Country: *
Street Address: *
City: *
Country: *
State::
Postal/Zip Code:
Home Phone:
Mobile Phone: *
Email Address: *
Parent/Guardian Information
First Name: *
Last Name: *
Relationship: *
Phone:
Email Address: *
High School information
High School Name: *
Current Grade Level in School: *
City: *
Country: *
State:
Program Preference
School Type: *
Applying Year: *
How did you hear about us? *
Comments: