International Student Application

International Student Application

Please fill in the form below.
Student Name

Last Name First Name
Passport Name

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

Street Address

Street Address Line 2

City State / Province

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

MaleFemale
Father/Guardian 1

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mother/Guardian 2

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

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

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Last Grade Completed
Dates of attendance
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
If you answered yes, please give an explanation.
Do you smoke?

NoYes
Do you drink alcohol?
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
Transcripts*

Browse Files

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TOEFL Score Sheet

Browse Files

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Biography Letter*

Browse Files

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Photograph*

Browse Files

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Should be Empty:

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