GSA Student and Parent Application

GSA Student and Parent Application

Please input all information, complete all sections, and then submit the completed application.
STUDENT INFORMATION
Family Name/Last Name:
Given Name/First Name:
Preferred Name:
Male or Female:
Date of Birth:
Country of Birth:
Country of Citizenship:
Passport Number:
Please type your address: Home Address (number, street, city, province, country, postal code): Postal code is required for I-20 mailing.
If you are accepted to one or more school, your I-20 may be mailed to you. If the I-20 should be mailed to a different address than the one above, please specify the location below. If the address is the same, leave this space blank.
Phone Number:
Email:
WhatsApp or WeChat ID:
Skype ID for Interview:
Current Grade in School:
Grade Applying for:
English Proficiency Exam - If taken (please specify if TOEFL, TOEFL Jr., SLEP, DuoLingo or other):
English Proficiency Exam Score - If taken:
Are you comfortable living in a home with pets (for host family placement)?
Do you have any special dietary needs or other needs or preferences?
MEDICAL INFORMATION
In order for students to be successful while studying abroad, it is imperative that GSA staff be aware of their needs. One factor that can have a significant impact on their overall success is their health and well-being. It is important that we be informed of any health conditions that may impact our students while they are far from home so as to ensure their needs are met.Understanding our students’ needs fully allows GSA staff, host families,schools, and medical personnel to arrange for proper support and care. All of us at GSA want our students to have the best possible experience while living abroad, and their mental and physical health plays a significant role in that.

Please note that disclosing information about students’ health conditions does not impact the decision-making process, nor does it determine the outcome of student admission to one of our partner-schools. Student medical information will be handled in a sensitive and confidential manner and will only be shared with the necessary parties.

Please note any medical conditions GSA staff needs to be aware of below,and include names of medications and dosages. If you would like to speak with a GSA staff member confidentially regarding the condition or medication, please contact us.
FAMILY INFORMATION-FATHER/GUARDIAN 1
Family Name/Last Name:
Given Name/First Name:
Please type your home mailing address (number, street, city, province, country, postal code):
Home Phone:
Cell Phone:
Business Phone:
Email:
WhatsApp or WeChat ID:
Occupation:
Name of Company:
FAMILY INFORMATION-MOTHER/GUARDIAN 2
Family Name/Last Name:
Given Name/First Name:
Please type your home mailing address (number, street, city, province, country, postal code):
Home Phone:
Cell Phone:
Business Phone:
Email:
WhatsApp or WeChat ID:
Occupation:
Name of Company:
EDUCATION
Name of Current School:
School Address:
Dates of Attendance:
School Phone:
Previous School:
School Address:
Dates of Attendance:
School Phone:
SCHOOL TRANSFER INFORMATION

(if you currently attend or have previously attended a school in the U.S., please complete this section):
Name of U.S. School Attended:
SEVIS (I-20) ID Number:
Contact Person at School:
Phone:
Email:
STUDENT QUESTIONNAIRE

Please respond to the questions below at length and in complete sentences. The answers to these questions will be shared with the schools you are applying to.
Why do you want to attend school overseas?
List any awards or honors you have received in the last 3 years.
What are your goals following high school graduation?
What are your hobbies and interests (include information about athletics, music, art, etc.)?
Have you traveled abroad before? If so, please list place and duration.
Please write a brief greeting to your host family.
REQUIRED DOCUMENTS
The following are documents we will need in order to facilitate your application.

Applicants can return to their application at a later time to submit the remaining documents. A link to edit your application will be available at the bottom of the e-mail receipt you receive after hitting the submit form button below.
Copy of Passport

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School Transcripts

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English Proficiency Test Score Report, if available

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English Teacher Recommendation

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Math Teacher Recommendation

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Three Photographs (one of applicant alone and two others with the applicant and his/her family)

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The following documents are required once the student has been accepted to a school. The Bank Statement/Certificate of Deposit is required before issuing the I-20. The remaining documents can be submitted after the student obtains his/her visa.

Applicants can return to their application at a later time to submit the remaining documents. A link to edit your application will be available at the bottom of the e-mail receipt you receive after hitting the submit form button below.
GSA CARE Local Support and Management Agreement

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Medical Treatment Authorization Form

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Medical Form

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Bank Statement/Certificate of Deposit

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Consent Letter for Minor/Student Traveling Abroad

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Copy of F-1 Visa

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I certify that the information contained within this application is complete and accurate to the best of my knowledge. I authorize GSA to verify any of the information presented in this form or in supporting documents. (If applicant is under 18, his/her parent or guardian must sign.)
Thank you!
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GSA Student and Parent Application

STUDENT INFORMATION

MEDICAL INFORMATION

FAMILY INFORMATION-FATHER/GUARDIAN 1

FAMILY INFORMATION-MOTHER/GUARDIAN 2

EDUCATION

SCHOOL TRANSFER INFORMATION

STUDENT QUESTIONNAIRE

REQUIRED DOCUMENTS