Student Information and Letters

Student Information & Letters
Student ID#: __________ (To be assigned by ARISE's main office)
Student's FIRST (GIVEN) Name:*
Student's FAMILY Name:*
Student's Email:*
example@example.com
Gender:*
How old will you be when you arrive in the U.S.?*
Please choose your home country from the list below.*
What is the name of your International Representative (this is the person or company in your home country that provided you with ARISE's application)? If you do not have an International Representative, please select NONE.*

NONEOther
Please type your International Representative’s email address below. This information is very important and MUST be correct. If you do not know the email address, please contact your International Representative for the correct information:*

Confirmation EmailPlease type the email address again to confirm.
What is your preferred grade of enrollment?*

9th Grade (Freshman)10th Grade (Sophomore)11th Grade (Junior)12th Grade (Senior)
ARISE cannot guarantee your enrollment in the grade of your choice. This decision is at the sole discretion of the school.
Program Length:*

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.
Aerobics
American Football
Badminton
Baseball/Softball
Basketball
Cycling
Dance/Ballet
Dance/Ballroom
Dance/Hip-Hop
Dance/Jazz
Dance/Tap
Dance/Other
Golf
Gymnastics
Hiking
Horseback Riding
Ice Hockey
Ice Skating
Martial Arts
Rollerblading
Skateboarding
Skiing/Snowboarding
Soccer
Swimming
Table Tennis/Ping Pong
Tennis
Track & Field/Running
Volleyball
Water Skiing
If there are any other sports that you participate in on a regular basis that were not included on the list above, please describe them below.

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.
Baking
Camping
Chess
Computers/Technology
Cooking
Drawing
Fishing
Painting
Photography
Singing/Choir
Theater/Drama
Video Games
Please list any other activities that you may participate in on a regular basis that were not included on the list above.
Please list some activities that you would like to participate in during your exchange program? (i.e., school clubs, sports, extracurricular activities, etc.)*

Student Questionnaire

Please respond to each question in complete sentences and in your own English. Each answer must consist of at least 100 words.
1) Please provide at least 3 reasons why you wish to become an exchange student in the United States?*

0/300
2) Please describe something you are passionate about (a particular sport or activity, pets, cooking/baking, etc.).*

0/300
3) Please describe your relationship with your natural parents/legal guardians. *

0/300
4) How do you hope to share your culture with your American host family? Why should an American host family choose to host you, and how will they benefit from this experience? Do you believe that you can build a long-lasting friendship with your future host family and American friends? Please describe what you will do to achieve this goal.*

0/300
5) Please describe your personality below. Are you adaptable, friendly, outgoing, etc.?*

0/300
6) If you are placed in a host family with TEENAGE HOST SIBLINGS, how do you plan to build a positive relationship with them? *

0/300
7) If you are placed in a host family with YOUNG CHILDREN, how do you plan build a positive relationship with them?*

0/300
8) As you know, many people from around the world face a variety of challenges each day. For example, some do not have access to clean water, others do not have food to eat, others might be facing a chronic illness, etc. If you could solve one problem in the world, what would it be and why? *

0/300

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.
STUDENT LETTER:*

0/0
Do you certify that the information included in this application is true and correct to the best of your ability?*

YesNo
Please type your name below as an electronic signature.
First (Given) Name*
Family Name:*
Date:

MonthDayYear
Date

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.
PARENTS LETTER:*
Please sign your name(s) below by typing in following boxes.
Legal Guardian #1's Electronic Signature:*
First (Given) Name
Family Name
Legal Guardian #2's Electronic Signature (if applicable):
First (Given) Name
Family Name
Date

MonthDayYear
Date
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
Should be Empty:

	How Many?	Ages?
Brothers
Sisters

Student Information & Letters