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  • Student Information & Letters

  • Student ID#: __________ (To be assigned by ARISE's main office)

     



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  • What is your preferred grade of enrollment?*

  • ARISE cannot guarantee your enrollment in the grade of your choice.  This decision is at the sole discretion of the school.

  • Do you have any brothers and/or sisters?*
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  • Do you have a religious affiliation?*
  • How often do you participate in religious activities?*

  • Do you have any professional/career goals?*
  • Have you ever participated in a student exchange program before?*

  • SPORTING/ATHLETIC ACTIVITIES:  Please select any sporting activities in which you participate by choosing how often you participate in this activity from the dropdown list.

  • OTHER ACTIVITIES: Please select any of the following activities in which you participate by choosing how often you participate in this activity from the dropdown list.

  • Do you play a musical instrument?*
  • Which instrument(s) do you play?*

  • Do you have any pets at home?*
  • Can you live with a host family that has dogs in the home?*
  • Will you need to take any special medication to treat your allergy to dogs? If so, the name of the medication must be included on your Student Health Record.*
  • Can you live with a host family that has cats in the home?*
  • Will you need to take any special medication to treat your allergy to cats? If so, the name of the medication must be included on your Student Health Record.*
  • Do you have any other allergies (food, pollen, medications, etc.)?*

  • Please note that any allergies MUST be noted by your doctor on the Student Health Record.

  • Do you have any special dietary practices or needs? For example, vegetarian, gluten-free, no pork, etc.*
  • Can you adjust to a home where one or more members of your host family smokes?*
  • Are you willing to be placed in a single parent home where there are no other host siblings? (Please note that a female student will NOT be placed in the home of a single man.)*

  • Student Questionnaire

    Please respond to each question in complete sentences and in your own English. Each answer must consist of at least 100 words.
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  • Please type a letter to your potential host family providing detailed information about your hobbies, interests and favorite activities. Be sure to explain what you hope to gain by participating in the exchange program and what you would like to share with your host family. Please do NOT include your last name, city of residence, address, contact information, date of birth, etc.  Your letter must contain at least 500 words.

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  • Do you certify that the information included in this application is true and correct to the best of your ability?*

  • Please type your name below as an electronic signature.

  • Date:
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  • The following portion of the application is to be completed by your legal guardian(s)/natural parent(s).  They will be asked to write a letter to your future host family.  Please click NEXT when you are ready to continue.

  • Please type a letter to your child's potential host family, describing his/her personality, interests, daily activities, etc. Please do NOT include your last name or your child's last name, city of residence, address, contact information, date of birth, etc. 

  • Please sign your name(s) below by typing in following boxes.

  • Date
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  • 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

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