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PROGRAM
1st/2nd choice

APPLICATION FORM 1

AGE CATEGORY
PROGRAM DATE

Information provided in this form is considered confidential.

PART I.
Family Name

NAME AND CONTACT INFORMATION

_____________________________________________

Date of birth (Y/M/D) __________/_____/_____

Given Name
________________________________________Middle Name___________________________________
____M ____F
same as passport

Sex

Place and country of birth ________________________________________________

Citizenship___________________________________
Dual passport holder? ____No. If yes, please specify______________________________________________
Philippine Passport details: _____________________________________________(Passport number)
Expiry: _______________________________________
Is this your first passport?
_____yes
____no
Complete Residential
__________________________________________________________________________________________
Address

__
_________________________________________________________________________________________
Landline

____________________________________________ Mobile
number_____________________________________
Applicants E-mail address_____________________________________________ Fax number
_____________________________________
Mailing address,if different from above ______________
__________________________________________________________
Specific addressee, if not the applicant
________________________________________________________________________
Relationship
________________________________________________________________________
Please answer the following:
1.Do you have a valid US visa? ___yes ____no. Where you ever issued one? If so, when did it expire?_____________________________________________
Please state visas issued in the last three years,if any.____________________________________________________________________
Which countries have you visited in the last three years? __________________________________________________________________
2.Any relatives in your preferred program destination? ____yes ____no

PART II.

FAMILY AND PERSONAL INFORMATION

FATHER________________________________________________
_________________________________________________
Residence address, if different from applicant:
applicant:
__________________________________________________
________________________________________________________

2014.8.revised
City

MOTHER
Residence address different from

INSTITUTE FOR FOREIGN STUDY,INC.

Established 1991
Suite 135, Ferros Bel-air Tower, #30 Polaris St., Bel-air, Makati

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__________________________________________________
________________________________________________________
E-mail:______________________________________________________
Email:____________________________________________________
Mobile number:___________________________________

Mobile
number:____________________________________________
Business name or Employer:

Business name or Employer:

__________________________________________________
________________________________________________________
Position/Designation_______________________________
Position/Designation_____________________________________
Work Address:____________________________________
Address:__________________________________________
___________________________________________________
________________________________________________________
Siblings:
Brothers,ages
_______________________________________________________________________________
Sisters, ages
______________________________________________________________________________

PART III.

Work

EDUCATION

Current school

____________________________________________Adddress____________________________________________
_____ I am not currently studying
Grade/Year &
Section_______________________________________
Course, if applicable ________________________________________________
Principal__________________________________________
Dean
________________________________________________
Class adviser_____________________________________
Guidance Counselor
_________________________________
English teacher __________________________________

PART IV.

HEALTH INFORMATION

Do you have a disability, impairment or medical condition which may affect your participation on the
program? _______No.
If yes, please give details._________________________________________________________________

REFERENCES: - a teacher/family friend/classmate/personal friend/tutor/pastor or parish priest

Name ________________________________________________Contact
number________________________________
Relationship _________________________________________
Address_________________________________________

2014.8.revised
City

INSTITUTE FOR FOREIGN STUDY,INC.

Established 1991
Suite 135, Ferros Bel-air Tower, #30 Polaris St., Bel-air, Makati

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Name________________________________________________Contact
number________________________________
Relationship__________________________________________Address_________________________________________
IMPORTANT: Please read before affixing the appropriate signatures. Applications are

accepted subject to the following

1.
2.

3.

4.

IFS reserves the right to accept or reject applications. No reason will be given in case of rejection.
IFS reserves the right to make changes in departure dates, program activities, program dates, host family
placements, travel arrangements and in extreme cases the program location either prior to the start of the
program or during the program in the interest of safety, learning or circumstances beyond the control of
Institute for Foreign Study Inc.(IFS) and/or its cooperating organization abroad.
IFS reserves the right to terminate the participation of any student in any or all of the following
circumstances but not limited to the following - if the participant violates program rules and regulations;
where the welfare of the student and/or that of other participants demand that we do so; if he/she is
persistently disrespectful of other participants, teachers, group leaders, host families; if his/her behaviour is
unbecoming of a Filipino and an ambassador of goodwill.
)Airline reservation and visa application will be handled by an IFS designated travel agency.

Please read before affixing the required

DECLARATION:

signatures.
1.
2.

3.

4.

5.

I/We, the parents/legal guardian, declare that the information supplied in this application is correct
and complete.
I/We, the parent/legal guardian, acknowledge that the withholding of, or provision of, incorrect or
false information and/or fraudulent documents is sufficient cause for cancellation of this
application and forfeiture of the application fee and/or part of the program fee.
I/We, the parents/legal guardian, understand and agree that Institute for Foreign Study,Inc.(IFS)
reserves the right to cancel a program if the minimum number of participants is not reached. I
understand that should the program of my first preference is cancelled, I will automatically be
enrolled in the program of my second preference.
I/We, the parents/legal guardian, agree to abide by all program rules and regulations as well as all
administrative and financial policies of Institute for Foreign Study,Inc. (IFS). Submission of this
application form and payment of the program fee in part or whole constitutes my/our agreement.
I/We,the parents/legal guardian undertake to pay any and all fees on the due date indicated in the
invoice. I/We understand that a 2% surcharge will apply for late payments.

SIGNATURE OF PARENT/LEGAL GUARDIAN ____________________________________________________ Date _____________________________

Print name before signing
SIGNATURE OF STUDENT

____________________________________________________Date_____________________________
Print name before signing.
If a minor, parents may sign on behalf of the student.
HOW TO APPLY:

1) Complete this form in BLOCK letters using a black pen. You may also type in the information
required.
2) You may scan/e-mail the completed form to:
instituteforforeignstudy@yahoo.com
3) Upon receipt of this form, an invoice will be sent to you stating the applicable
fee/s and due dates. Please note there is a 2% surcharge for payments made after the due date.
4) We do not accept US dollar bank drafts or any foreign currency personal cheques or travellers
cheques. We accept peso cash and US dollar cash only.
5) Payments may be made directly to our office or may be picked up from your
residence or your/your parents place of work, if requested and subject to the availability of our liaison
officer.
6) Bank details will be indicated in the invoice if payment directly to our account is
preferred. The
validated deposit slip must be e-mailed to us so that a provisional receipt and subsequently, an
official receipt may be issued.
2014.8.revised
City

INSTITUTE FOR FOREIGN STUDY,INC.

Established 1991
Suite 135, Ferros Bel-air Tower, #30 Polaris St., Bel-air, Makati

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If you need more information or assistance in completing this form, please contact us at:
Telephone: 261 17 49
Website: www.ifsphil.com
E-mail: instituteforforeignstudy@yahoo.com / studyabroad@ifsphil.com

At IFS, our classroom is the world.

2014.8.revised
City

INSTITUTE FOR FOREIGN STUDY,INC.

Established 1991
Suite 135, Ferros Bel-air Tower, #30 Polaris St., Bel-air, Makati