Student Outbound Exchange Application

Which outbound sister city exchange are you applying for?(Required)

School(Required)

Current Grade Level(Required)

Date of Birth(Required)

Age(Required)

Gender(Required)

Student Email

Student Cell Phone

1st Parent/Guardian email(Required)

1st Parent/Guardian Cell Phone(Required)

2nd Parent/Guardian email

2nd Parent/Guardian Cell Phone

Student Questionnaire

List any volunteer activities, part-time jobs, hobbies, or interests.(Required)

What languages have you studied, if any, and for how many years?(Required)

What is your previous travel experience (U.S. and abroad):(Required)

What do you think the benefits and challenges might be living with a host family of a different social or economic standing than you are accustomed to?(Required)

Why you want to participate in this exchange? What qualities and characteristics do you feel make you a good candidate to represent Norfolk, VA, USA on this exchange?(Required)

References

Current Teacher's Subject(Required)

Current Teacher's Email(Required)

Relationship to you(Required)

Non-relative's email(Required)

Form completed by:(Required)