BRAUNSCHWEIG YOUTH EXCHANGE - STUDENT APPLICATION

BRAUNSCHWEIG YOUTH EXCHANGE - STUDENT APPLICATION

In order to facilitate the selection of your partner student for theforthcoming exchange, it would be appreciated if you answer thefollowing questions.
STUDENT INFORMATION
Student School Photo

Cancelof
Name

First NameLast Name
Birth Date

MonthDayYear
Date
Age
Birthplace
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Name of your School
Current Grade Level
PARENT #1 INFORMATION
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Occupation
Relation to Student
PARENT #2 INFORMATION
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Occupation
Relation to Student
SIBLING/OTHER HOUSEHOLD MEMBERS
Sibling/Household Member's Name Age Relation
Sibling/Household Member's Name Age Relation
Sibling/Household Member's Name Age Relation
Sibling/Household Member's Name Age Relation
HOSTING A STUDENT
Are you willing to host a German student for about 3 weeks?
Are you able to host more than onestudent from Braunschweig?
If you are able to host more than one student from Braunschweig, how many more students can you host?
We prefer to host
Do you have an individual bed for the student to sleep in?
STAYING WITH A HOST FAMILY
Do you prefer to be hosted by a
Is it okay for you to share a bedroom with you host brother or sister?
If you responded yes to the last question, the hosting student must be a
SUBSTANCE USE
Do you drink alcoholic beverages habitually?
Do you smoke or vape?
If you answered yes to either of the 2 above questions, would you be willing to stop if your host family wants you to do so?
Do you object to others smoking/vaping around you?
TELL US MORE ABOUT YOURSELF
Hobbies/What do you like to do with your free time?
What is your favorite school subject(s) and why?
Do you participate in any extracurricular sports, clubs, or activities? If so, what?
Do you have a job? If so, where do you work and what do you do?
Do you have certain chores or responsibilities at home? If so, what are they?
Do you have any allergies to dogs/cats, other animals or to any substance(s)? If so, please describe.
Have you studied any foreign languages? If so, what language(s) have you studied, and have you had the opportunity to use the language outside of school? Explain.
Do you have any pets? If yes, how many and what type of animal(s) are they?
Are you religious? If yes, which faith do you practice and do you attend services regularly?
Have you taken any trips to foreign countries in recent years? If yes, which countries have you visited?
Do you follow a special diet? If yes, please describe.
Do you have any medical conditions your host family or chaperones needs to be aware of? Please describe.
Examples: seizures, asthmas, panic attacks, anxiety, depression, blindness, deafness, autism, etc.
CONVERSATION TOPICS
Which of the following topics would you feel confident/comfortable talking about with your host family?
POSSIBLE FIELD TRIPS
During your stay in Braunschweig, field trips are planned. Which of the following activities do you prefer?
BACKGROUND CHECK
Would you agree to a criminal background check?
Would your parent(s)/legal guardian(s) agree to a criminal background check?
RECOMMENDATIONS

Please provide the names of two non-family members who could be contacted for recommendations. (Be sure to ask these people for permission for me to contact them.)
First Name* Last Name* Email* Area Code* Phone Number*
First Name* Last Name* Email* Area Code* Phone Number*
LETTER TO YOUR HOST FAMILY
Please introduce yourself and/or your family in a letter to you partner and their family!
PHOTOS FOR YOUR HOST FAMILY

Please add photo(s) of you and your family or any other photo you would like to share with your host partner and their family.
Should be Empty:

BRAUNSCHWEIG YOUTH EXCHANGE - STUDENT APPLICATION

STUDENT INFORMATION

PARENT #1 INFORMATION

PARENT #2 INFORMATION

SIBLING/OTHER HOUSEHOLD MEMBERS

HOSTING A STUDENT

STAYING WITH A HOST FAMILY

SUBSTANCE USE

TELL US MORE ABOUT YOURSELF

CONVERSATION TOPICS

POSSIBLE FIELD TRIPS

BACKGROUND CHECK

RECOMMENDATIONS

LETTER TO YOUR HOST FAMILY

PHOTOS FOR YOUR HOST FAMILY