International Student Application

International Student Application

Please fill in the form below.
Student Name

Last NameFirst Name
Passport Name

First NameLast Name
American Name if Applicable
Student Home Country Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Student E-mail
Student Skype ID or WeChat
Gender
Father/Guardian 1

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother/Guardian 2

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade Applying For
Term Applying For
Fall/ Spring and Year
Date of Birth
MM/DD/YEAR
Country of Citizenship
Education Information
Current School
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Last Grade Completed
Dates of attendance
Start Date and End Date
Have you repeated any grades?
If you answered yes, which grade?
Have you ever been suspended from a school?
If you answered yes, please give an explanation.
Medical & Personal Information
Do you have any medical conditions?
Do you need to take prescription medication during the school day?
If you answered yes to any of the above, please give an explanation.
Do you smoke or vape?
Do you drink alcohol?
Have you been absent from school for 1 month or longer?
If you answered yes, please give an explanation.
Please list your hobbies and interests?
Are you interested in playing in sports? If you select yes, please request a PIAA physical form.
Please list foods you like or dislike?
Please list any allergies you have. This includes foods, medicine, animals & seasonal
Application Requirements Check List
Translated Transcripts

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TOEFL Score Sheet

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Biography Letter

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Photograph

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Passport

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