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iNECS预申请表(学生)
PRE-APPLICATION FORM FOR STUDENT PARENT INFORMATION
DATE (MM/DD/YYYY) 单击此处输入日期。
PARENT NAME PROVINCE MOBILE PHONE
STUDENT INFORMATION
SEX MALE FEMALE MOBILE PHONE FIRST NAME LAST NAME
中文姓名 SKYPE NAME
DATE OF BIRTH (MM/DD/YYYY)
CURRENT SCHOOL GRADE GRADE POINT AVERAGE （
Average score in the past year ）
ENGLISH TEST SCORE
SLEP
TOEFL IELTS SSAT PROGRAM INFORMATION
REQUESTED START DATE (MM/YYYY) MONTH
YEAR
LENGTH OF PROGRAM
1 YEAR MULTIPLE YEARS TYPE OF SCHOOL PUBLIC
PRIVATE ―DAY GRADE ENTERING IN US
FOREIGN COUNTRY STUDIED IN BEFORE
FROM TO (MM/YYYY) STUDIED IN (COUNTRY)
PLEASE LIST YOUR FAVORATE DISTRICT OR SCHOOLS. 1.
2.
3.
DOES THE STUDENT HAVE ANY SPECIFIC REQUIREMENTS FOR HOST FAMILY?
DOES THE STUDENT HAVE ANY SPECIFIC MEDICAL PROBLEMS/REQUIREMENTS?
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