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STUDENT APPLICATION
Please fill out this application completely by typing or using black ink.
Application For:
10 month program 5 month program
Entry Date:
August January
Student Name
 |
Last First Middle
Permanent address:
Street address
 |
City Country
Telephone: ___________________________________________
Country Code City Code Home Number
Birthplace: _________________________________ Date of Birth ___/ ___/ ___/
City Country
Citizenship:___________ Nationality ___________Age _____ Gender ___F ___M
Height: ______ Weight: ______ Hair Color:________ Eye Color: _______
Country issuing passport _________ Passport number _________ Expires ____ Make a check-macro if the answer applies:
| Mother Living Deceased | Father Living Deceased | Parents Separated Divorced | I live with: Mother Grandmother Father Grandfather |
Other please explain _________________________________________
About your Father ____________________________________________________
Last Name First Name Occupation
____________________________________________________________________
Address Postal Zone City Country _______________________________________Speaks English: Yes No
Home Telephone Business Telephone
About your Mother ___________________________________________________
Last Name First Name Occupation
____________________________________________________________________
Address Postal Zone City Country _______________________________________ Speaks English: Yes No
Home Telephone Business Telephone
Please list any other members of your household
Name Age Gender Relationship
Your Interests
Please tell us about yourself:
What is your religious affiliation?_________________________________________
§ When do you participate? Weekly Monthly Holidays Never
§ If your Host Family's religion is different than your own, would you be willing to participate? Yes No
§ Do you ever smoke? Yes No
§ Can you adjust to a home where others smoke? Yes No
§ Do you like animals? Yes No
List any pets you have at home._______________________________________
List musical instruments you play ________________________________________
List Foreign Languages you speak or have studied
Language Years of Study Proficiency
English ________ ___________________
__________ _________ ___________________
What grade in school are you currently attending? _______________
Next year? ________________
GRAMMAR
Study the table.
| The Past Continuous Tense | |||
| Îáñòîÿòåëüñòâà âðåìåíè | at 5 o’clock yesterday - â ïÿòü ÷àñîâ â÷åðà at the at moment - â òîò ìîìåíò at noon - â ïîëäåíü from … to - ñ … äî all morning - âñåóòðî when I entered the room -êîãäàÿâîøåëâêîìíàòó when the phone rang - êîãäàçàçâîíèëòåëåôîí when I came - êîãäà ÿ ïðèøåë è ò.ä. | ||
| was/were + V-ing | |||
| Óòâåðæäåíèå | Âîïðîñ | Îòðèöàíèå | |
 I
He was writing
She at 5 o’clock.
It
|
We
You were writing
They at 5 o’clock.
I
Was he writing
she at 5 o’clock?o’clock?
it
 |  |
We
Were you writing
they at 5 ’clock? o’clock?
I
He wasn’t writing
She at 5 o’clock.
It
We
You weren’t writing
They at 5 o’clock.