Applications for Exchange Students SALEM'S ACADEMY STUDENT INFORMATION LAST NAME: _____ MIDDLE INITIAL: _____ FIRST NAME: _____ BIRTHDATE: (MM/DD/YYYY) BIRTH COUNTRY: _____ GENDER: _____ HOME ADDRESS: _____ CITY: _____ STATE: _____ COUNTRY: _____ ZIPCODE: _____ HOME PHONE: _____ CELL PHONE: _____ EMAIL: _____ CURRENT PASSPORT: (Y/N)
PARENT/GUARDIAN INFORMATION PARENT/GUARDIAN 1 FULL NAME: _____ RELATIONSHIP: _____ DO YOU LIVE WITH THIS PARENT/GUARDIAN: (Y/N) HOME PHONE: _____ EMAIL: _____ PARENT/GUARDIAN 2 FULL NAME: _____ RELATIONSHIP: _____ DO YOU LIVE WITH THIS PARENT/GUARDIAN: (Y/N) HOME PHONE: _____ EMAIL: _____
SCHOOL INFORMATION SCHOOL NAME: _____ SCHOOL ADDRESS: _____ CITY: _____ STATE: _____ COUNTRY: _____ ZIPCODE: _____ PHONE: _____ SCHOOL YEAR: _____ GPA: _____ GRADUATION YEAR: _____ PLANNED COURSE OF STUDY: _____
Please include 2 academic letters of reference. Essay Question: Please explain in 250 words or more why you think you would be a good choice for this program.
HOGWART'S SCHOOL OF WITCHCRAFT AND WIZARDRY STUDENT INFORMATION LAST NAME: _____ MIDDLE INITIAL: _____ FIRST NAME: _____ BIRTHDATE: (MM/DD/YYYY) BIRTH COUNTRY: _____ GENDER: _____ HOME ADDRESS: _____ CITY: _____ STATE: _____ COUNTRY: _____ ZIPCODE: _____ CURRENT PASSPORT: (Y/N)
PARENT/GUARDIAN INFORMATION PARENT/GUARDIAN 1 FULL NAME: _____ RELATIONSHIP: _____ DO YOU LIVE WITH THIS PARENT/GUARDIAN: (Y/N) PARENT/GUARDIAN 2 FULL NAME: _____ RELATIONSHIP: _____ DO YOU LIVE WITH THIS PARENT/GUARDIAN: (Y/N)
SCHOOL INFORMATION SCHOOL NAME: _____ SCHOOL ADDRESS: _____ CITY: _____ STATE: _____ COUNTRY: _____ ZIPCODE: _____ SCHOOL YEAR: _____ OWLs: _____ GRADUATION YEAR: _____ PLANNED COURSE OF STUDY: _____
Please include 2 academic letters of reference. Essay Question: Please explain in 250 words or more why you think you would be a good choice for this program.