* First Name

* Last Name

* English Name

* Street

* City

@include('partial.select', array( 'layout'=>'','size'=>'col-md-3', 'id'=>'inputState', 'title'=>'State', 'selectList'=>$ar_usa_states ) )

* ZIP code

* Phone

* E-mail Address

* Date of Birth @include('partial.dateform', array( 'id'=>'input', 'title'=>'', 'layout'=>'', 'class'=>'inputRequired' ) )

* Age in USA

* Gender

Student's picture

* Student's SKYPE ID

* Student's We Chat ID

* School name you are applying for

If you plan to transfer, what is the reason? (*Only for transferring students)

Grade Applying for

Semester Applying for @include('partial.select', array( 'id'=>'selectSemesterApplyFor', 'title'=>'', 'layout'=>'col-md-6', 'selectList'=>array('fall'=>'fall', 'spring'=>'spring') )) @include('partial.select', array( 'id'=>'inputSemesterApplyFor', 'layout'=>'col-md-6', 'selectList'=>$ar_input_semester_year ) )

What is the last grade you completed?

City and Country of Birth

* Country of Citizenship

INFORMATION FOR HOST FAMILY

English Proficiency

radioEngProficiency) && $my_application->radioEngProficiency == 'Fluent') checked @endif> Fluent

radioEngProficiency) && $my_application->radioEngProficiency == 'Proficient') checked @endif> Proficient

radioEngProficiency) && $my_application->radioEngProficiency == 'Intermediate') checked @endif> Intermediate

How many years have you studied English?

@include('partial.checkbox', array( 'size'=>'col-md-3', 'layout'=>'mt10', 'class'=>'' ,'title'=>'Please describe your personality', 'checkContents' => $ar_desc_personality ) )

Do you have any allergies to food, animals, plants, medicine or anything else?

If yes, what are you allergic to?

Have you lived or traveled abroad?

If yes, when and where?

My eating habits : I can eat anything the host provides except

FAMILY INFORMATION

Please list your natural parents’ information

Name (Father)

E-mail

Occupation

Cell Phone

Work Phone

Company Name and Address

Date of Birth @include('partial.dateform', array( 'id'=>'inputFather', 'title'=>'', 'layout'=>'' ) )

City of Birth

Name (Mother)

E-mail

Occupation

Cell Phone

Work Phone

Company Name and Address

Date of Birth @include('partial.dateform', array( 'id'=>'inputMother', 'title'=>'', 'layout'=>'' ) )

City of Birth

Address if different from applicant

Please list your siblings information

Name

Relationship

Age

Name

Relationship

Age

STUDENT’S PREFERENCE

Religion

How often do you attend services?

Specialty

Do you have a pet?

Do you smoke?

Do you drink alcohol?

Are you vegetarian?

Have you participated in an exchange program before?

If yes, when and where?

Favorite subject

Your merit

Your Demerit

What would you like to be when you grow up?

@include('partial.checkbox', array( 'size'=>'col-md-4', 'layout'=>'mt10', 'class'=>'' ,'title'=>'Have you ever done the following? Please check as many as you can', 'checkContents' => $ar_following ) )

STUDENT’S EDUCATION DATA

Current School

Dates Attended : From

Present Grade

Completed?

School Address

Principal or Counselor Name

E-mail

Phone Number

Fax

Previous School

Dates Attended : From

Grade: From

How long have you studied English in school?

radioStudiedEnglish) && $my_application->radioStudiedEnglish == 'Years') checked @endif> Years

radioStudiedEnglish) && $my_application->radioStudiedEnglish == 'Months') checked @endif> Months

radioStudiedEnglish) && $my_application->radioStudiedEnglish == 'Hours') checked @endif> Hours per week

Have you ever studied English in an English speaking country?

@include('partial/select', array('size'=>'col-md-4', 'id'=>'inputEngCountry', 'title'=>'If so, which country?' , 'selectList'=>array('0'=>'select', 'usa'=>'USA', 'korea'=>'Korea', 'china'=>'China') ) )

How long?

What type of visa did you have?

Other languages

Length of study

HEALTH DATA

Have you ever had a serious injury, illness or disability? If so, please explain.

Have you ever had counseling or psychological/psychiatric evaluation or treatment? If so, please explain.

INTEREST AND HOBBIES

CHECK ONES THAT YOU CURRENTLY ENJOY OR PARTICIPATE IN

@include('partial.checkbox', array( 'size'=>'col-md-4', 'layout'=>'mt10', 'class'=>'' ,'title'=>'Sports', 'checkContents' => $ar_sports ) )

Others

@include('partial.checkbox', array( 'size'=>'col-md-3', 'layout'=>'mt10', 'class'=>'' ,'title'=>'Music', 'checkContents'=> $ar_music ) )

Others

@include('partial.checkbox', array( 'size'=>'col-md-3', 'layout'=>'mt10', 'class'=>'' ,'title'=>'Art', 'checkContents'=> $ar_art ) )

Others

File Uploads

@foreach ($ar_files_upload_data as $key => $value) @if ( ! empty($value) )

@endif @for ($i = 1; $i <= $value['cnt_content']; $i++)

@if ($value['cnt_content'] > 1) #{{$i}} @endif Select File @if ( ! empty ($my_application->{'image'.$key.'_'.$i.'_file'}) ) Download @endif

@endfor @endforeach

DISCLAIMER AND SIGNATURES

I certify that my answers are true and complete to the best of my knowledge. I, the undersigned parent or guardian of (student’s name) grant only Summa Global Education, located in the state of Pennsylvania, USA the right to: Start and complete the school’s application process, arrange host family, gain access to transcripts, and access to all other documents regarding school during his/her stay in USA on my behalf. I agree to abide by the policies of the school and of Summa Global Education. I also agree to follow the law as set by the USA. I agree that the program fee deposit will be refunded if the visa is denied. However, any other fee related to the application process and/ or host family arrangement is not refundable. The fees will not be refunded if I withdraw or cancel the service for any personal reason.

Parent’s Signature

Date

Student’s Signature

Date

STUDENT APPLICATION

*Please submit student application with application fee of $600 (Non-refundable)

STUDENT INFORMATION

* is Required

INFORMATION FOR HOST FAMILY

FAMILY INFORMATION

Please list your natural parents’ information

STUDENT’S PREFERENCE

STUDENT’S EDUCATION DATA

HEALTH DATA

INTEREST AND HOBBIES

CHECK ONES THAT YOU CURRENTLY ENJOY OR PARTICIPATE IN

File Uploads

{{$value['title']}}

DISCLAIMER AND SIGNATURES

STUDENT ESSAY TO HOST FAMILY

PARENTS ESSAY TO HOST FAMILY