Exchange Program to Spain 2015


         

       

Name: 


A red asterisk (*) indicates required questions.

  1. Full student name:*


  1. Full student phone:*


  1. Full parent name(s):*


  1. Full parent phones:*


  1. Emergency name and number:*


  1. If you are currently enrolled in Spanish, what level and who is your teacher?*


  1. Graduation year:*


  1. Approximate GPA:*


  1. List 5 things you hope to gain from participating in this trip.*


  1. Why do you think you are a good candidate to represent JCA in a foreign country? Include involvement in other organizations, teams, clubs at school or outside of school.*


  1. What parts of this trip do you think you may find challenging?*


  1. Why do you feel it is important for us to all focus on becoming global citizens?*


  1. Do you have any allergies/special dietary concerns? Any special medical needs?*


  1. List 3 JCA teachers/employees you can list as references.*


  1. Rate your Spanish speaking skills*
      1 2 3 4 5  
    Excellent   Poor


  1. Rate your Spanish reading skills*
      1 2 3 4 5  
    Excellent   Poor


  1. Rate your ability to adapt to new situations*
      1 2 3 4 5  
    Excellent   Poor


  1. Thank you for your interest in the exchange program. There are a large number of candidates this year, so please understand if you are not chosen to participate this year. Hopefully, you will have more opportunities. Use the space below to tell us anything else you would like us to know/consider about you.*





PROFE
Profe Finaldi
Plainfield East High School
Plainfield, IL