Orthez 2012 Interest Survey

This survey does not commit you to Orthez 2012. It is merely the first step in determining interest for next year's program. Remember, our program is an exchange. You will host a Frenchie in October 2011 and go to Orthez in April 2012 if you meet all the qualifications. You must be a student in good standing ( no failing grades during your exchange year ), you must receive supporting proof from teachers indicating mature behavior, and you must not have any serious prior incidents reported by the Tam administration. The Global Studies program looks for serious students who will make good ambassadors abroad and welcoming hosts and hostesses here at home.
Name: 


  1. Your Home Address


  1. Your Home Number


  1. Your Cell Number


  1. Your e-mail address


  1. Mom's cell


  1. Mom's e-mail


  1. Dad's cell


  1. Dad's e-mail


  1. In what grade will you be during the 2011/12 school year? 


  1. In what French class will you be enrolled in the 2011/12 school year? 


  1. Sometimes, our program needs extra host families
    Would you only like to host in October 2011 and NOT go to France in 2012?
    Yes, I only want to host. I do not want to go to France in 2012
    No. I want to host AND I want to go to France in 2012


  1. Why do you want to participate in the Orthez 2012 program?