Arlington-Reims Student Exchange
Application to Travel to Reims 2017 / Due on or Before Oct. 28, 2016
Student Last Name *
Your answer
Student First Name *
Your answer
Student Email *
Your answer
Parent Name *
Your answer
Parent Email *
Your answer
Address *
Your answer
Student Cell Phone *
Your answer
Parent Cell Phone *
Your answer
Student Gender *
Required
School (School Year 2016-17) *
Class as of 2016-17 *
French Teacher *
Your answer
French Level as of 2016-17 School Year *
Have you ever traveled outside of the United States before? If so, where, when, and for how long? *
Your answer
Please write a few paragraphs on why you believe you would be a good representative of Arlington and the United States in an exchange program. *
Your answer
You need to provide 2 teacher/coach/counselor recommendations, one of which must be a current or former French teacher. List your teacher names and emails below. YOU MUST SEND THEM THE FORM LINK BELOW and let them know it it due by Oct. 28.
Teacher Recommendation #1: Name and Subject Area *
Your answer
Teacher Recommendation #1: Email *
Your answer
Teacher Recommendation #2: Name and Subject Area *
Your answer
Teacher Recommendation #2: Email *
Your answer
I will complete the following steps no later than Oct. 28, 2016. These steps are required to complete my application. *
Required
Remember -- There are only 24 places for the 2017 trip! Complete applications will be reviewed on a first come, first served basis.
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