Personal Data
Title
Title
Mrs.
Mr.
Name
Surname
Street
Zip-Code, City
Country
- Selection -
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
year
1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973
month
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
Height in 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 native language
High School Graduation
graduated?
ja
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?
10
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
Month
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
Month
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 native 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 native 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 native 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 best national junior league
Position
e.g. middle forward, right back etc. If not applicable type in "no position"
Disciplines(and possibly best times)
e.g. 100m dash: 11.4 seconds; freestyle; high jump 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. "I have known him always as a very motivated and coachable athlete 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 5 seconds
How did you hear about us?
Validation
(please enter code)