Student Application

Student Application

F-1 Program
Please upload your passport photo. *
Please provide your name below, entering it exactly as it appears on your passport.
First (Given) Name: *
Middle Name (if applicable):
Family Name: *
Do you have a nickname that you prefer to be called? *

Yes No
What is your nickname? *
Gender *
Date of Birth: *

Month Day Year
What is your city of birth?: *
What is your country of birth? *
Please select the program for which you are applying. *

Standard F-1 Program Select F-1 Program
What is your preferred program length? *

Academic Year (August - June) Fall Semester (August - December) Spring Semester (January - June)
What is the name of your International Representative (this is the person or company in your home country that provided you with ARISE's application)? If you do not have an International Representative, please select NONE. *

NONE
Please type the International Representative’s e-mail address below. This information is very important and MUST be correct. If you do not know the email address, please contact your International Representative for the correct information. *

Confirmation Email Please type email address again to confirm.

Family Description
Please provide us with information about your legal guardians (These are the adults who are legally responsible for you. They may be your natural parents or other adults).
Parent/Legal Guardian #1's Name: *

First (Given) Family Name
Relationship to You: *
(Father, mother, grandparent, etc.)
Age: *
Gender: *
Employment Status: *
If other, please explain below. *
Occupation: *
(Doctor, lawyer, teacher, etc.)
Do you have a 2nd parent/legal guardian? *

Yes No
Parent/Legal Guardian #2's Name: *

First (Given) Name Family Name
Relationship to You: *
(Father, mother, grandparent, etc.)
Age: *
Gender: *
Employment Status: *
If other, please explain below *
Occupation: *
(Doctor, lawyer, teacher, etc.)
What is your parents'/legal guardians' marital status? *

Married Divorced Separated
Are both of your parents/legal guardians still living? *

Yes No
If not, please explain. *
With whom do you live most of the time? *
Please explain. *
Do you have any brothers or sisters? *

Yes No

Whose idea was it for you to apply for participation in the cultural exchange program? *
Do you have any relatives or friends residing in the United States? *

Yes No
Please describe your relationship to these friends or relatives, as well as where they reside in the U.S *

What is your email address? *
example@example.com
By typing my name below, I certify that the information included in this application is true and correct to the best of my ability. *
Student's Electronic Signature
Date

Month Day Year
Date
10810 N. Tatum Boulevard, Suite 102-845 Phoenix, AZ 85028 www.arise-usa.org

Toll-Free: 1-877-6-ARISE-6 Phone: (602) 641-9699 Email: info@arise-usa.org
Should be Empty: