Student Registration

Student Information
First Name：
Family Name：

English Name：
Address：

City：

 Province Country
Zip Code： Gender
Date of Birth (Mo/Day/Year)：

Country of Citizenship：

Email Address：

 Telephone：

Education Information
Name of High School：

CEEB Code：

Address：

City：

 Province： Country：
Zip Code： Head of Counselor：

Email Address：

 Telephone：

Test Scores

TOEFL Score (R,W,L, S)
Date Taken or Plan to Take

SAT Score (CR, WR, MA)?
Date Taken or Plan to Take

SAT II Score
Date Taken or Plan to Take

SAT II Score
Date Taken or Plan to Take

SAT II?? Score
Date Taken or Plan to Take

ACT Score
Date Taken or Plan to Take

Academic Courses

Strongest Academic Courses

Favorite Academic Courses

Weakest Academic Courses

Extracurricular Activities

Activity 1
(Position, Time Participated)

Activity 2
(Position, Time Participated)

Activity 3
(Position, Time Participated)

Activity 4
(Position, Time Participated)

Activity 5
(Position, Time Participated)

Honors and Achievements

Honor 1 and Time Participated

Honor 2 and Time Participated

Honor 3 and Time Participated

Honor 4 and Time Participated

Honor 5 and Time Participated

Academic Courses

What Colleges Interest You the Most

What Major Are You Most Interested
  





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