INTERNATIONAL STUDENT APPLICATION FOR ADMISSION
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General Information
Applying for semester that starts in:*
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January
August
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2012
2013
2014
2015
2016
Applying for Grade:*
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9
10
11
12
Payment method:*
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Western Union
MoneyGram
Wire Transfer
Transaction Number:*
(so that we can identify your payment)
Program Type Applying for:*
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School Year (1 Year Cultural Exchange)
Semester
Diploma Seeking
Associated with/Partnered with:
(organization)
How did you hear about us?
Personal Information
Family name:*
(as appears on passport)
Family name:*
(in native language)
First name:*
(as appears on passport)
First name:*
(in native language)
Middle name:
(as appears on passport)
Middle name:
(in native language)
Address:*
(non-US address)
State/Province/Territory:*
City:*
Country:*
Select Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
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Austria
Azerbaijan
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Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia (Local Name: Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia, South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
United States
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Other
Other:
Postal Code:
Address in Native Language:
(if different than English)
English nickname:
Applicant's Telephone:*
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Applicant's E-mail:*
Date of Birth:*
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
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Year
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
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1998
1999
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2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Height:*
(in centimeters)
Weight:*
(in killograms)
Eye Color:*
Native Language:*
Religion:
Are you religiously:
Very Active
Active
Inactive
Sex:*
Male
Female
Photo:*
(Max. filesize: 500KB, Formats:JPEG,GIF,PNG)
Passport Number:*
Type of Visa held:
(if any or applying for)
Do you have any health problems:
(this will not affect your acceptance to this school)
Family Information
Father
Father's Name:*
Father's Name:*
(in native language)
Address:
(if different from applicant's)
Address:
(in native language)
Telephone:*
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Fax:
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Work Telephone:*
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E-mail:*
Occupation and Title:*
Company Name:*
Mother
Mother's Name:*
Mother's Name:*
(in native language)
Address:
(if different from applicant's)
Address:
(in native language)
Telephone:*
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Fax:
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Work Telephone:*
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E-mail:*
Occupation and Title:*
Company Name:*
Siblings
Brother/Sister Name:
Age:
Add Fields
School Information
Applicant's Current School:*
School Address:*
State/Province/Territory:*
City:*
Country:*
Select Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia (Local Name: Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia, South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
United States
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Postal Code:
Telephone:*
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Date entered:*
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Is school public?:*
Choose
Yes
No
Current Grade Level:*
Choose
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Out of Total Number of Grades:*
Choose
8
9
10
11
12
13
14
15
Current Grade Point Average (GPA):
Last Year GPA:
Student's Life
Tell about your family: sisters, brothers, grandparents, and what they mean to you.*
What are your favorite high school subjects and why?*
What are your favorite activities or interests outside of school?*
What sports are you active in?*
Of the qualities you possess, what do others appreciate most about you. Why?*
What foreign languages have you studied and for how many years?*
Have you taken the Secondary Level English Proficiency (SLEP) test?*
Yes
No
If yes: Date taken:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Score:
List 3 things you hope to gain from studying in our school.*
What do you plan to do after you finish high school?*
In a few words, why do you wish to become an Oak Grove student?*
To whom should correspondence (grade reports, communications, etc.) be sent?*
Parents
School
Associated Agency
To the attention of:
(in English),
(in native language)
Title:
Email:
Phone:
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Fax:
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Emergency contacts other than parents in home country:
Name:*
Relationship:*
Telephone:*
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Fax:
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E-mail:*
Do they understand and speak English?:*
Yes
No
Emergency contacts other than parents in the USA:
Name:
Relationship:
Telephone:
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(
)
Fax:
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(
)
E-mail:
Essay
The purpose of this essay is to give you an opportunity to introduce yourself to your future host family, as well as to the Oak Grove community.
Describe what expectations you bring as you journey to Fargo, North Dakota and to Oak Grove Lutheran School.*
Describe your current school and your community. (city, neighborhood, etc.)*
Describe any specific skills and talents you have, and how you might like to share those with your host family, as well as the Oak Grove community.*
Tell how you learned of Oak Grove. Explain why you would like to spend the upcoming school year as a member of this community. How would you benefit and how would Oak Grove benefit from you coming?*
Include any other details or information that you think would enable us to get to know you better, prior to your arrival here.*
You decide one day you want to study/do something your parents are not wanting you to do. You are very passionate about doing this but they disagree. Explain how you deal with this conflict with your parents.*
After studying at Oak Grove for one month, you realize that you don’t seem to understand the subject material, your English is not as good as you where hoping it was, and your grades begin to drop. Explain what you would do to better your situation.*
What do you plan to be doing 3 years from now? What are your goals and how do you plan to achieve them? Be specific.*
Skype On-Line Interview
The purpose of the interview is to allow us an opportunity to evaluate your English speaking and listening comprehension skills. The procedure for the interview is as follows:
Upon receipt of the student’s application the Oak Grove International Student Coordinator will review your application and will contact the applicant by e-mail or by telephone to set up a mutually convenient time for the interview.
The interview will take about 20-30 minutes.
If you have any questions regarding the procedure of this interview, please e-mail Kimberly Meng, International Department Coordinator, at kimberly.meng@oakgrovelutheran.com.
In order to facilitate this process, please provide the following contact information:
Telephone number where you can be reached:*
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Time of day when you can be reached:*
(based on USA Central Standard Time)
Your Skype screen name:*