International Student Application

International Application for Admission

Student's First Name

Middle Name

Last Name

Gender

Male

Female

Current School

Current Grade

SEVIS ID Number (if none, please CLICK "none")

None

Student's Passport Number

Passport Issued By (Country)

Passport Expiration Date required

Student's Date of Birth required

Place of Birth

Student's Phone Number

Student's Address

Father's Full Name

Father’s Employment – Name of Company

Mother's Full Name

Mother's Employment - Name of Company

Father’s Profession & Position

Mother’s Profession & Position

Father's Phone Number

Mother's Phone NUmber

If other, please state who child resides with:

Guardian’s Full Name

Guardian’s Employment – Name of Company

Guardian’s Email

Guardian’s Profession & Position

Guardian’s Phone Number

Guardian’s Address

Host Family’s Address

Agent/Agency (If student does not have an agent, please CLICK "none")

None

Agent/Agency's Phone number

I confirm that the information given in this form is true, complete and accurate.

Thanks for submitting!

WESLEY COLLEGE PREPARATORY SCHOOL