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MARCET PROFESSIONAL EUROSOCCER PROGRAM Enrollment application

FUNDACION MARCET


ENROLLMENT APPLICATION ENROLLMENT APPLICATION:

INSTRUCTIONS:

Please print this PDF, fill it in, sign it and scan it.

Gather all the necessary supporting documents and scan them.

Send first everything by e-mail and then mail a hard copy of the documents.

E-MAIL TO:

carolina@fundacionmarcet.com

MAIL TO:

MPEP Admissions Department.

Fundaci贸n Marcet

Av. Can Marcet s/n

08035 Barcelona SPAIN


ENROLLMENT APPLICATION 1- PLEASE, INDICATE THE PROGRAM YOU WOULD LIKE TO ATTEND: MPEP Barcelona Full term (Set.-May) MPEP Barcelona Half term (Jan.-May) MPEP UK Full term (Set.-May) Other:______________________________

Where did you hear about our progam?

Friend or relative

Other:_________________________________________________________

Coach

Online search

2- PERSONAL INFORMATION: Please, type or print clearly. Print name as it appears on passport

Family name:______________________________________________

Given name:______________________________________________

Male

Passport number:_________________________________________

Country of passport issue:________________________________

Country of birth:_________________________________________

Country of citizenship:____________________________________

Studen’ts permanent adress in home country (mandatory)

Female

Date of birth:_____/_____/_____

Street:_____________________________________________________ ___________________________________________________________ •

City:______________________________________________________

Province and postal code:__________________________________

Country:_____________________________________________________

Phone:___________________________________________________

Fax:_______________________________________________________

E-mail:_____________________________________________________

Social Security Number:

Country of Social Security Number:_________________________


ENROLLMENT APPLICATION - FAMILY INFORMATION: •

Name of Mother:___________________________________________

Nationality:_________________________________________________

Passport Number:__________________________________________

Home Adress (If different from student):____________________ __________________________________________________________

Phone:____________________________________________________

E-mail:____________________________________________________

Mother’s job:_______________________________________________

Name of Father:___________________________________________

Nationality:_________________________________________________

Passport Number:__________________________________________

Home Adress (If different from mother):____________________ __________________________________________________________

Phone:____________________________________________________

E-mail:____________________________________________________

Father’s job:_______________________________________________

How many brothers and sisters do you have?:______________

Please list names, gender and ages:________________________ ___________________________________________________________

2- FOOTBALL INFORMATION: •

Height (cm)

Weight (Kg)

Position:___________________________________________________________

Best Foot:________________________________________________________

Lenguages Spoken:_______________________________________________

For how long have you been playing football? :____________________

Please list the clubs or teams you have played for (name, country): _________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________

Which are your football expectations?:_______________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________


ENROLLMENT APPLICATION 3- SCHOOL INFORMATION: •

Level achieved (Primary School, Secondary School): ___________________________________________________________________________

Current school (Name, City, Country): ___________________________________________________________________________

Grade coursed last yest: ___________________________________________________________________________

Have you passed last course?______________________________________________

Which are your academic expectations:_____________________________________ ___________________________________________________________________________ ___________________________________________________________________________

_________________________________________________________________ 4- MEDICAL INFORMATION: •

Do you have any allergie?:__________________________________________________ ___________________________________________________________________________

_________________________________________________________________ •

Do you have any injury?: __________________________________________________ ___________________________________________________________________________

_________________________________________________________________ •

Do you have any illness?:___________________________________________________ ___________________________________________________________________________

_________________________________________________________________ •

Please list below the vaccines you’ve been given:____________________________

_________________________________________________________________ ___________________________________________________________________________ •

Do you need any special medicarion or treatment?:________________________

_________________________________________________________________ _________________________________________________________________


ENROLLMENT APPLICATION 5- PRIVATE INSURANCE: •

Do you have any private medical insurance policy?

YES

NO

Number:___________________________________________________

Company:__________________________________________________

Country of issue:___________________________________________

Does it cover Spain?

Does it cover UK?

YES

YES

NO NO

6- 100€ FEE TO BE SUBMITED WITH THIS APPLICATION •

The application fee may be paid by credit card or bank draft. Please indicate your method of payment below.

I have enclosed a 100€ bank draft with my application. Bank drafts must be in EUROS and have sufficient funds to cover bank expenses. Please charge the 100€ application fee to the following credit card: •

Visa

MasterCard

Credit Card Number:

Expiration Date

/ •

Name of Credit Card holder:_____________________________________

Credit card billing adress:________________________________________

Street:___________________________________________________________

City:____________________________________________________________

Province and postal code:_______________________________________

Country:________________________________________________________

Authorizing signature:

_____________________________________________

date:________/_________/_________


ENROLLMENT APPLICATION 7- VISA INFORMATION •

Will you apply for a Student visa?

If no, what type of visa will you use?:___________________________________

If no, will you need an invitation letter? YES

When will your passport expire?__________________________________________

Are you already in Europe, or will you enter Europe prior to receiving our visa document, in order to attend an other school or for some other purpose?

YES

NO

NO

YES. If yes, please submit copies of your passport and visa, NO

Please remember that students in need of a Student visa will need to transfer, once accepted in the program, a 1000€ visa fee in order to get the necessary notarial documents signed by Fundacion Marcet. Please note this fee has no relation with any fees that may be required by the Spanish Embassy.

8. APPLICANT SIGNATURE •

I hereby certify that the foregoing and all the information referenced in or enclosed with this application is to the best of my knowledge true and correct.

Student’s signature:

_____________________________________________

Father/mother/tutor’s signature:

_____________________________________________

date:________/_________/_________


ENROLLMENT APPLICATION

Before mailing the application, please check that you are including the following:

Enrollment application

Statement of purpose

Football CV

School Transcripts for the last two years

Copy of student’s passport

Copy of parents’ passport

Video/link of two full games played by the candidate

100€ application fee.

Enrollment Application  

Enrollment Application para el curso de Eurosoccer Program de la Fundacion Marcet