BSD-Torgau Exchange Program Application
Brandywine School District and Johann Walter Gymnasium 23rd annual foreign exchange program. Students will travel to Germany in June 2019 (Depart 6/8 Return 6/24) and then host a German student during the spring of 2020. The cost of the program is approximately $1600, this price includes: airline ticket, travel Insurance, medical insurance, meals, housing, transportation and field trips.
I live in *
I would like to *
Required
I am *
Enter your first and last name *
I attend school at *
Please upload a photo of yourself (just you) *
Required
Please type your complete address, do not abbreviate. *
What is YOUR cell phone number? 111-222-3333 *
What is YOUR email address? *
List the names of each person who lives in your house. Next to their name write their title, age, and occupation. Examples: Susanne Smitten: Mother, 41, nurse. Jonathan Saxen: Grandfather, 67, retired. Joey Doran, Brother, 5, student. *
Mother or Stepmother's first and last name (if not applicable please write "NONE") *
Mother or Stepmother's cell phone number (if not applicable please write "NONE") 111-222-3333 *
Mother or Stepmother's email address (if not applicable please write "NONE") *
Father or Stepfather's first and last name (if not applicable please write "NONE") *
Father or Stepfather's cell phone number (if not applicable please write "NONE") 111-222-3333 *
Father or Stepfather's email address (if not applicable please write "NONE" *
Personal Habits & Preferences *
Yes
No
Do you smoke?
Do you object to others smoking around you?
Do you drink alcohol?
Do you attend religious services weekly?
Will you have a job while you are hosting a student?
Will you be participating in a sport while you are hosting a student?
Has your family hosted an exchange student before? *
Describe your spare time activities.
Please enter the number of cats that live in your house. *
Please enter the number of dogs that live in your house. *
Please list animals other than a cat or dog that live in your house.
Are you allergic to any animals? (if so, which animals)
Do you have any special requirements or restrictions pertaining to your health? If yes, what are they? Do you have any allergies? If yes, what specific allergies and what must be done in case of an allergy attack? If you take medication, please tell why, how often and the name of the medication you take. We do A LOT of walking in Germany. Most of the places we visit are NOT handicap accessible.
Select the 3 activities you would most likely prefer to do *
Required
On a scale of 1 to 5, how clean is your house? (1 not clean at all, 5 neat and clean always) *
On a scale of 1 to 5, how clean is your bedroom? (1 not clean at all, 5 neat and clean always) *
Would you mind sharing a bedroom with your host partner? *
Will your partner have a bedroom to him/herself or will they share a bedroom with you? *
Every attempt is made to partner students by the same gender. In some cases the best match may be male/female. Sometimes there is an uneven number of females and males participating in the exchange. *
Please upload a photo of the room where your guest will stay.
What is your diet like? (you may select more than one answer) *
Required
Write a paragraph about your previous travels, domestic and foreign. *
What expectations do you have about participating in this exchange program? What do you hope to achieve by staying with your host family and residing in Germany? *
What do you expect from your partner when he/she comes to visit you? *
Please type anything that you think will assist us in matching you with a student. The other student will see this information.
Why I should be chosen: *
BSD STUDENTS ONLY: I understand that my application will be considered complete once Ms Baczewski receives two recommendation letters and a refundable deposit of $100. Recommendation letters must be emailed to jennifer.baczewski@bsd.k12.de.us. Check or money order should be made payable to "State Treasurer." Host only families do not submit any money, the deposit is for traveling students only. Students will be notified of their acceptance to the program before Thanksgiving. It is recommended that ALL students applying to the program apply for a passport now. *
Required
List the names of people who you intend on asking for letters of recommendation. Next to their name please write their relationship to you. Example: Jane Smith - Girl Scout leader , Helga Austio - school principal.
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