Personal Data
Title
Title
Mrs.
Mr.
Name
Surname
Street
Zip, City
Country
- Selection -
Albania
American Samoa
Anguilla
Antigua/Barbuda
Argentina
Armenia
Australia
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
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
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
Telephone
(49)251 34234; in brackets the country code
Mobile
(49)172 23232; in brackets the country code; if not available enter "no mobile"
Facsimile
if not available enter "no fax"
Email
Birthdate
year
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
feet and inches
conversion table
Weight
lbs
conversion table
Education data
Your status
high school student
high school graduate
at military service
student
working
other
High school
name
enter in home language
High School Graduation
graduated?
yes
no
when?
year
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
also enter future years
High School Years
how many years of (high-)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
desired subject area in the US
When do you want to begin studies?
Month
January
February
March
April
May
June
July
August
Septmeber
October
November
December
Year
2003
2004
2005
2006
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
SAT Test Score
just if taken; otherwise enter "not taken yet"
SAT Test Date
Month
don not know yet
January
February
March
April
May
June
July
August
Septmeber
October
November
December
Year
do not know yet
2003
2004
2005
2006
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
enter in home language; enter "no club" if you are not part of a club
Latest club leaguge
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 league so far
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
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
Validation
I herewith confirm the correctness and completeness of the information provided