Student Interest Form
Forward International Academy
STUDENT INFORMATION
Student Name:
First Name
Last Name
Student Email Address:
example@example.com
Current Grade:
Please Select
7th
8th
9th
10th
11th
12th
Date of Birth:
-
Month
-
Day
Year
Date
Are you interested in pursuing your bachelor's degree in the U.S.?
Yes
No
Which UW-Madison Summer Camp are you accepted to?
Please Select
Accelerated Learning Program (ALP)
Wisconsin International Precollege Academy (WIPA)- On Campus
Wisconsin International Precollege Academy (WIPA)- Online
Social Impact Leadership (SIL)
What is the name of your current high school?
Please write the full name of your school, along with the city and country where it is located.
Would you like us to contact your school to help explain how the American high school system works, so that the credits you earn can potentially be transferred back to your local school?
Yes
No
If yes, please provide the name and contact information of your principal or school administrator:
Please include name, title, and email address of the person
FAMILY CONTACT INFORMATION:
Parent/Guardian Name:
First Name
Last Name
Relationship to Student:
Parent/Guardian Email:
example@example.com
Submit
Should be Empty: