EINREICHUNGpersönlich an FRAU WALTZ auf Englisch und in zweifacher

Ausfertigungbis spätestens 4.5.2015:

a) digitalund

b) als Ausdruck mit Originalfoto

German American Partnership Program 2015/16:

Goethe-Gymnasium – Billerica Memorial High School /Massachusetts

Student Information Form

1. Personal Data:
First and family name:
Sex:
Age and Grade:
(photo with or without family) / Address:
E-Mail:
Religion:
Parents‘ names and occupations:
Brothers and Sisters:
(number / ages)
2. School and spare time:
Favourite subjects:
Which extracurricular activities (=AGs) did you take part in during the last term ? / 3.Travel Experience:
* Which trips to foreign countries have you taken, how long and for what purpose ?
* Have you ever been a guest in a foreign family ?
* When and for how long ?
4. Skills andpreferences:
Interests:
Special Talents and Instruments Played: / 5. Family commitment:
* Do you have to do specific chores at home ?
* If so, what do you do ?
* Do you have a part-time job ?
* If so, what do you do ?
* Do you have pets at home ?
* Which pets in a household can you not tolerate (allergy / fear ?)

p.t.o.

6. Participation in setting up the exchange:

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While staying at their American partner school the German students usually give English presentations about a topic related to their home country.

Suggest a topic that you could present and say what exactly you would talk about.

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We will have a German evening in the USA for our American partners and their parents.

Suggest a program for such an evening and say which contribution you would like to prepare.

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Devise a schedule of excursions, sightseeing trips and socializing for our

American partners’ visit inFEBRUARY 2016.

Then suggest which of the activities on this agenda you could help to organize.

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We are planning to have special Exchange Shirtsmade for all participants, based on students’ designs.

On a separate A 4-sheet, giveyour design for such an “Exchange Shirt“ and hand it in together with this form.

Encl.: Personal design for “Exchange Shirt”

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Place, datesignature of applicant

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Place, datesignature of parent (s)