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Student Ambassador Application
HPHS current freshman-Juniors are invited to apply for the 2016-17 Student Ambassador Program to Taiwan, entails hosting a student in the Fall and visiting Taiwan over Spring Break.
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* Indicates required question
Student Legal First, Last Name (Name called if different than legal)
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Your answer
Passport number
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Your answer
Date of Birth
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Ex. 01/12/2001
Your answer
Gender
Male
Female
Clear selection
Current Grade
9th
10th
11th
Clear selection
Student Cell Number
*
Your answer
Student Email address
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Your answer
Are you and your family willing and able to serve as a host family for one of the visitor's for Taiwan during the upcoming school year?
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The main reguirement is that each student has their own bed.
Yes
No
We could host 2 if neccesary
Maybe
Legal Guardian(s) Name(s) and cell numbers
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Your answer
Home address
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Your answer
Have you received any discipline referrals while at HPHS?
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Yes
No
Last name, First names of all current teachers
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All teachers will be asked for a reference.
Your answer
What has motivated you to apply to serve as an ambassador to Taiwan?
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Your answer
I do commit to being engaged while they are here in the Fall, attend weekly meetings in the Spring one month prior to departure, and be open-mined and engaged in every activity when in Taiwan.
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Yes
No
Link to introduction video
Please include a short bio, introduce your family, and state your reasons for applying.
Your answer
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