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Application Form

This application is only possible for students having received a personal invitation code allowing to apply for the school without having to pass any audition.
Please note that any scholarship request, in addition to the one already received (if any) will imply the parents to provide all official documents about their patrimony and revenues.

Mosa Education Program

Personal invitation code *

Education Program

Identification information

First Name *

Last Name *

Gender *

Male

Female

Birth Place *

Birth Date *

Nationality *

ID/Passport Country *

Native language *

Preferred communication language *

Size (cm) *

Face Photo *

Full Length Photo *

ID/Passport Student *

Validity student passport

ID/Passport of a Parent/Tutor *

Validity parent passport

Email *

Phone *

Street and Number *

Postal Code *

City *

Country *

Full Name of Father

Email of Father

Phone of Father

Full Name of Mother

Email of Mother

Phone of Mother

Full Name of Guardian

Email of Guardian

Phone of Guardian

Academic Studies

Current Academic School *

Current Academic Level/Degree *

Dance experience

Number of year(s) of Classical Dance Courses *

Number of year(s) of Contemporary Dance Courses *

Attended Dance Schools *

Tuition Fee

Applicable Tuition Fee

Scholarship

Received scholarship

Scholarship Request, in addition to the one already received for the same school year, if any (EUR 100 file costs refunded in case of acceptance)

Is your Application Conditioned to the Receipt of a Scholarship (in addition to the one already received for the same school year, if any)? *

Yes

Other information

French level *

Beginner

Elementary

Intermediate

Advanced or better

Remarks/Additional Info

Please check this box to confirm your engagement for which you declare to be informed of the invoicing schedule of the selected services *

Job

Department

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