Global Studies and World Languages Academy

Global Studies and World Languages Academy

Travel Application

Destination:

Directions : Please type and send to

Part 1 Personal\Family Information

Student’s Name: Last First Middle

Student I.D. Number

Address: Street City State Zip Code

Student’s Age Grade Birthdate: Month Day Year

Sex (Check One) Male Female

Student Email Address Student Cell Phone Number

Parent/Guardian Information

Father’s Name

Occupation Work Phone Number

Mother’s Name

Occupation Work Phone Number

Parent E Mail Address

Parent Home Telephone:

Emergency Contact

Name Relationship

Address

Home Telephone Work Telephone

Part 2 Travel Documents

Place of Birth County/City State Country

Do you presently have a Passport? YES NO

If yes, provide the following information:

Passport Number

City of Issuance Expiration Date

Part 3 Student Information and Biography

1. What are your favorite academic subjects and in which do you excel?

2. What world languages are you studying? Please list the level for each.

3. Please describe your special interests and hobbies and how you like to spend your free time by discussing your interests in the following areas. You may leave blanks if they don’t apply to you.

Artistic interests:

Music interests:

Religious activities:

Community and school volunteerism:

Sports:

Other clubs or activities:

4. Do you have a special talent you can share with the school or host family?

YES NO If YES, please describe.

5. Please explain, in approximately 100 words, why you believe you should be selected as a participant in this exchange program.

6. Please list any international travel experience you have had.

7. Please type a 250 word letter to your host family. Include information about your home, community, family, friends, and school life. Describe your personality and interests. What are your expectations from this exchange?

Part 4 Personal and Health Information

1.  Do you have any health problems, disabilities or allergies that would impact travel or influence the type of home environment best suited for you? YES NO

If yes, please explain any health concerns.

2. Do you require a special diet? YES NO

If yes, please explain any special dietary needs.

3. Do you have pets? YES NO

Do you mind staying in a home with pets? YES NO

4. Participants of this program are not allowed to smoke or consume alcohol. Will you comply with this requirement for the duration of the program? YES NO

5. Do you wish to be hosted by a non-smoking family? YES NO

6. When selecting host families, every effort is made to match genders. In rare cases, it is not possible. Are you willing to host a student who is not the same gender? YES NO

The Selection Process:

·  Traveling students need a minimum GPA of 3.0 with no Ds or Es on the most recent report card.

·  Attendance, discipline, community service and cultural records are considered.

·  A committee of three teachers will read the applications and select the delegates.

·  Preference will be given to students studying the language of the travel destination.

·  Preference will be given to students who have not traveled with a GSWLA exchange program.

·  Teachers of each applicant will be asked to complete a recommendation form.

After the Selection Process:

·  A parent meeting will be scheduled after the delegation has been announced.

·  Delegates will need to submit a 2 x 2 photo if a Visa is required.

·  Delegates must apply for a passport.

·  Delegates will submit a digital photo that will be sent to the host student.

·  Delegates will be required to attend study sessions with their chaperone in advance of the travel.

·  Each delegate will need to create a presentation for the partner school in advance of the travel.

After Travel:

·  Student delegates are expected to be ambassadors and share information about their travel experiences.

·  Thank your host family and stay connected to your new friends.

Special Notes:

·  See this website for information about the exchange. http://gswla.weebly.com/index.html

·  Travel dates are subject to change.

·  This application will be forwarded to host families of the travel destination.

·  School missed during the exchange is noted in the school record as ACTIVITY and does not count as an absence.

·  The students are responsible for making arrangements with their teachers for missed assignments.

·  Every effort is made to hold the cost of travel to airfare and spending money.

·  Students earn 8 cultural events for participating in exchanges.

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Parent or Guardian Signature (can be added at first parent meeting) Date

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