Student Name:
*
Date of Birth:
*
January
February
March
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July
Sun
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Wed
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Sat
30
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Gender:
*
Female
Male
Student Email:
*
Phone Number:
*
Permanent Address in Country/Region of Residence:
*
eg. 11–1—102, Shijicheng, Xiongzhou Street, Xiongxian, Baoding, Hebei, China
Zip Code:
*
Country of Citizenship:
*
Photo ID (Passport/Government Issued)
*
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Photo ID Number:
*
Country/Region of Most Recent Education:
*
Number of Schools Attended:
*
1
2
3
Current School
*
Official Student Transcript (G8-G12)
*
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Post-Secondary Goal (insert drop down with the following options)
*
College
University
Highest Grade / Diploma / Degree Completed
G8
G9
G10
G11
G12
High School Diploma
Student’s First Language
*
Language of Academic Instruction from the Past 3 Years
*
OSSD Types:
Full Time OSSD
Dual Diploma Program
Summer School
Information Release Form
*
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Recent Photo
*
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WeChat ID
*
Line ID (If applicable)
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