International Student Application

International Student Application

Please fill in the form below.
Student Name

Last NameFirst Name
Passport Name

First NameLast Name
American Name if Applicable
Student Home Country Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Student E-mail*
Student Skype ID or WeChat
Gender

MaleFemale
Father/Guardian 1

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother/Guardian 2

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade Applying For
Term Applying For
Fall/ Spring and Year
Date of Birth
MM/DD/YEAR
Country of Citizenship
Education Information
Current School
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Last Grade Completed
Dates of attendance
Start Date and End Date
Have you repeated any grades?

NoYes
If you answered yes, which grade?
Have you ever been suspended from a school?

NoYes
If you answered yes, please give an explanation.
Medical & Personal Information
Do you have any medical conditions?

NoYes
Do you need to take prescription medication during the school day?

NoYes
If you answered yes to any of the above, please give an explanation.
Do you smoke or vape?

NoYes
Do you drink alcohol?

NoYes
Have you been absent from school for 1 month or longer?

NoYes
If you answered yes, please give an explanation.
Please list your hobbies and interests?
Are you interested in playing in sports? If you select yes, please request a PIAA physical form.

NoYes
Please list foods you like or dislike?
Please list any allergies you have. This includes foods, medicine, animals & seasonal
Application Requirements Check List
Translated Transcripts*

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TOEFL Score Sheet

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Biography Letter*

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Photograph*

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Passport

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