1. NAME & ADDRESS – Applicant’s First Name

2. Applicant’s Last Name

3. Applicant’s email

4. Family email address

5. Home Address

6. Mailing Address

7. APPLICATION DETAILS – Grade entering next September

8. Residency (choose one)

9. Have you previously applied to any school or program in the USA?

10. BIOGRAPHICAL INFORMATION – Gender

11. Date of Birth

12. Native Language

13. Country of Birth

14. Country/countries of citizenship

15. If English is not your native language, how many years of English instruction have you had?

16. Visa type

17. CURRENT SCHOOL INFO – Type of School

18. School Address & phone number

19. Are you currently taking English Instruction?

20. REQUIRED TESTING – Have you taken/do you plan to take the TOEFL?

21. If Yes, when?

22. STUDENT – How would someone who knows you well describe you? Your best qualities? Your shortcomings?

23. What are your academic interests? Which courses have you enjoyed most? Which courses have been most difficult for your? Why?

24. What activities do you most enjoy? Which activities have meant the most to you?

25. Is there a profession you admire or would like to learn more about?

26. FAMILY INFORMATION – Parent’s marrital status (relative to each other)

28. Applicant lives with…

29. PARENT/GUARDIAN 1

30. Parent/Guardian 1 – Relationship to applicant

31. Parent/Guardian 1 Gender

32. Parent/Guardian 1 – First and Last Name

33. Parent/Guardian 1 – email

34. Parent/Guardian 1 – cellphone number

35. Parent/Guardian 1 – company/institution

36. Parent/Guardian 1 – occupation

37. Parent/Guardian 1 – College/City/Country and highest degree earned

38. Parent/Guardian 1 – If permanent/home address is different from applicant’s, please provide.

39. PARENT/GUARDIAN 2

40. Parent/Guardian 2 – Relationship to applicant

41. Parent/Guardian 2 – Gender

42. Parent/Guardian 2 – First and Last Name

43. Parent/Guardian 2 – email

44. Parent/Guardian 2 – cellphone number

45. Parent/Guardian 2 – company/institution

46. Parent/Guardian 2 – occupation

47. Parent/Guardian 2 – College (City/Country) and highest degree earned

48. Parent/Guardian 2 – If permanent/home address is different from applicant’s, please provide.

49. PARENT STATEMENT – Please describe your child’s academic strengths and weaknesses.

50. Please describe your child’s personal strengths and weaknesses.

51. How do you think your child will adapt to the challenges of living away from home in a dormitory?

52. Is there anything else you would like us to know about your child?