Personal Data
Title
Mrs. Mr.
Name
Surname
Street
Zip-Code, City
Country
Albania American Samoa
Anguilla Antigua/Barbuda
Argentina Armenia
Australia Austria
Azerbaijan Bahamas
Bangladesh Barbados
Belarus Belgium
Belize Bermuda
Bolivia Bosnia-Herzegovina
Botswana Brazil
Bulgaria Cameroon
Canada Cayman Islands
Chile China
Colombia Costa Rica
Croatia Cuba
Cyprus Czech Republic
Denmark Dominica
Dominican Republic Ecuador
Egypt El Salvador
Estonia Ethiopia
Finland France
Gambia Georgia
Germany Ghana
Greece Grenada
Guam Guatemala
Guyana Haiti
Honduras Hong Kong
Hungary Iceland
India Indonesia
Iran Iraq
Ireland Israel
Italy Jamaica
Japan Jordan
Kazakhstan Kenya
Korea Kuwait
Kyrgyzstan Latvia
Lebanon Lesotho
Liechtenstein Lithuania
Luxembourg Macedonia
Malawi Malaysia
Mexico Micronesia
Moldova Monaco
Mongolia Montserrat
Morocco Netherlands
New Zealand Nicaragua
Nigeria Norway
Pakistan Panama
Paraguay Peru
Philippines Poland
Portugal Puerto Rico
Romania Russia
St. Kitts and Nevis St. Lucia
St. Vincent Saudi Arabia
Senegal Sierra Leone
Singapore Slovakia
Slovenia South Africa
Spain Sri Lanka
Sudan Suriname
Swaziland Sweden
Switzerland Syria
Taiwan Tajikistan
Tanzania Thailand
Trinidad/Tobago Tunisia
Turkey Turkmenistan
Turks/C. Islands Uganda
Ukraine United Arab Emi
United Kingdom United States
Uruguay Uzbekistan
Venezuela Vietnam
Virgin Islands Yugoslavia
Zambia Zimbabwe
Phone
(49)251 34234; in brackets the country code
Parents phone
Mobile
(49)172 23232; in brackets the country code; if not available enter "no mobile"
Facsimile
if not available enter "no fax"
Email
Parents email
Birthdate
1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973
01 02 03 04 05 06 07 08 09 10 11 12
day
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Heightin feet und inch
feet and inches
conversion table
Gewicht
lbs
conversion table
Education data
Your status
high school student high school graduate
at military service Student
Working Other
High school
enter in home language
High School Graduation
graduated?
nein when? year 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000
also enter future years
High School Years
how many years of school have you/will you have finished when going abroad?
11 12
13 years High school Overall Grade , translated: very good
good satisfactory
pass pass only
University
how many semesters of study have you finished when going abroad??
0 1 2 3 4 5 6 7 8 9 10 11 12 semesters
please enter "0" if you are not studying yet
University Overall Grade
, translated:
very good good
satisfactory pass
pass only "not applicable" if you are not studying University subject area only if you are already studying; otherwise type in "not in university yet"
Desired study area in the US
When do you want to begin studies?
Semester
spring (Januar) fall (August)
Year 2007 2008 2009 2010 2011 2012 2013
Citations from letters of recommendation or other certificates
e.g. job in summer 2003: "has always been valued as a very motivated employee"; teacher in 2002: "has been one of my best students in the year 2002"; etc.
TOEFL Test Score
just if taken; otherwise enter "not taken yet"
TOEFL Test Date
do not know yet January
February March
April May
June July
August Septmeber
October November
December Year
do not know yet
2003
2004
2005
2006
2007
2008
2009
SAT Test Score just if taken; otherwise enter "not taken yet"
SAT Test Date
do not know yet January
February March
April May
June July
August Septmeber
October November
December Year
do not know yet 2003
2004
2005
2006
2007
2008
2009
Sport Data Your Sport - Selection -
Archery Baseball
Basketball Bowling
Cross Country Equestrian
Fencing Field Hockey
Football Golf
Gymnastics Ice Hockey
Lacrosse Rifle
Rowing Skiing (Cross Country)
Skiing (Downhill) Soccer
Softball Squash
Swimming and Diving Tennis
Track and Field Volleyball
Water Polo Wrestling
Latest club or school team
enter in home language; enter "no club" if you are not part of a club
Latest club or school league
comparable to:
no club league National level
2nd. level 3rd level
4th level 5th level
6th level 7th level
enter in home language; enter "no club league" if your sports competes in no league
Highest club or school league so far/ state or county select teams
comparable to:
n.a. National level
2nd. level 3rd. level
4th level 5th level
6th level 7th level
enter in home language; enter "no club league" if your sports competes in no league
Ranking Individual
if your sport is playable without a team e.g. tennis, golf etc. Please include junior rankings and senior rankings with years, e.g. 2002: Juniors 201, national ranking
Ranking Team
Please include junior rankings and senior rankings with years, e.g. 2002: Juniors 201, national ranking
Titles
Please list all titles with years you can think of e.g.:
2001: champion of regional tournament "Warsteiner Grand Prix"
2002: quarterfinals at national team championships
2003: 23:0 wins during the season in club "White rocks" in Regionalliga (2nd. highest German league)
Position
e.g. middle forward, defensive right border etc. If not applicable type in "no position"
Disciplines(and possible best times)
e.g. 100m dash: 11.4 seconds; freestyle; highjump etc.
Strengths
e.g. mental stability; quickness; endurance etc.
Objectives in sport
e.g. become professional etc.
Citations from letters of recommendation or other certificates
e.g. "ich have known him always as a very motivated and coachable with much talent" etc.
Other criteria
list other sport criteria in areas like fitness, quickness or strength or sport specific measures e.g. FT%, bench press 200lbs, 50m dash in 3 seconds
How did you hear about us?
Validation
(please enter code)