GAPP American Student Profile 2012/13

Thank you for participating in our 23nd Anniversary Exchange (2nd at HHS).

Please fill out this survey as detailed as possible. Be sure to include your full legal name incl. middle name(s).

Be sure to check the correct spelling of your personal information.


       

Name: 


A red asterisk (*) indicates required questions.

  1. Your Address:*


  1. Best phone to reach family incl. area code if not 828:*


  1. Your cell phone (including area code):


  1. Your email address:*


  1. Your birth date: day/month/year*


  1. Have you already chosen a partner in Achern, Germany? If "yes", please list the last name and first name:


  1. Father's name and occupation:


  1. Mother's name and occupation:


  1. Your parents' email:*


  1. Siblings and ages:


  1. Travelers only: Emergency Contact other than your parents (name, relationship, phone)*


  1. Your favorite School Subjects:*


  1. Your hobbies:*


  1. Other special interests:


  1. Travelers only: What would you like for your host family to know about you?


  1. How do you want to benefit from this exchange? What would you like to experience?*


  1. What would you like to tell your German partner about your home and family?


  1. Would you rather be hosted by
    a boy
    a girl
    no preference


  1. Do you smoke?*
    Yes
    No


  1. For travelers: Do you have any allergies?
    Yes
    No


  1. If "yes", please explain.


  1. For travelers: Is there anything else we need to know about you?
    (diabetic, vegetarian)
    Yes
    No


  1. If "yes", please provide details.


  1. Are you or have you been enrolled in German Classes?
    Remember that a background in German is very helpful for this program because of the home stay component. However, most Germans can communicate in English.*
    Yes
    No


  1. Which of the following schools do you currently attend?
    Freedom High School
    Hibriten High
    other


  1. Which level of German will you have accomplished by the time you leave for Germany?
    1
    2
    3
    4
    5
    AP


  1. Are you a (check multiple answers ):*
    boy
    girl
    full participant
    host only
    traveler only


  1. Your age by the time of our trip to Germany (~ June 15, 2013)


  1. During your stay in Germany, which activities would you like to do (choose more than one)?
    visit museums + historical sites
    visit industrial sites
    visit schools
    swimming
    hiking
    sightseeing
    bicycling
    horseback riding
    team sports
    social events


  1. For travevelers: For your visits of schools, you will be asked to prepare a presentation along with 2 or 3 other participating students. What topic would interest you most?
    my town
    my school
    styles at my school
    popular music
    a typical day of a student
    games for elementary English classes (5/6th grade)


  1. Your t-shirt size
    S
    M
    L
    XL
    XXL


  1. As a full participant, you may be asked to prepare a project for which you collect materials, take pictures, and interview natives pertaining to a topic of your interest.
    Select one of the topics below or name one to your teacher.
    shopping
    environment
    school
    architecture
    towns and cities
    family life
    leisure time activities
    popular music
    art
    transportation





Herr/Monsieur/Magister/Mister Körner
German/French/English Instructor
Halberstadt, Sachsen-Anhalt