Student Evaluation Application
Title  
Name  
Surname  
Street  
Zip, City  
Country  
Telephone (999)999 9999; in brackets the country code
Mobile (999)999 9999; in brackets the country code; if not available enter "no mobile"
Facsimile if not available enter "no fax"
Email  
Birthdate  
Height feet and inches  
Weight lbs  
 
Education data
Your status  
High school
name		 enter in home language
High School Graduation graduated? 
when?
 		 also enter future years
High School Years how many years of (high-)school have you/will you have finished when going abroad?
years		  
High school Overall Grade , translated:  
University how many semesters of study have you finished when going abroad?
semesters		 please enter "0" if you are not studying yet
University Overall Grade , translated: "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?  
Citations from letters of recommendation or other certificates ex. job in summer 2004: "has always been valued as a very motivated employee"; teacher in 2003: "has been one of my best students in the year 2003"; etc.
TOEFL Test Score just if taken; otherwise enter "not taken yet"
TOEFL Test Date  
SAT Test Score just if taken; otherwise enter "not taken yet"
SAT Test Date  
 
Sport Data
Your sport  
Latest club enter in home league enter "no club" if you are not part of a club
Latest club league
comparable to:

 

 enter in home language; enter "no club league" if your sports competes in no league
Highest club league so far
comparable to: 		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 ex. tennis, golf etc.
Please include junior rankings and senior rankings with years, ex.
2004: Juniors 201, national ranking
Ranking Team Please include junior rankings and senior rankings with years, ex.
2004: Juniors 201, national ranking
Titles Please list all titles with years you can think of.
Position ex.. defensive back, defensive right corner etc. If not applicable type in "no position"
Disciplines (and possible best times) ex 100m dash: 10.4 seconds; freestyle; high jump etc.
Strengths ex. mental stability; quickness; endurance etc.
Objectives in sport ex.. become professional etc.
Citations from letters of recommendation or other certificates ex. "I have known him always as a very motivated and coach able with much talent" etc.
Other criteria list other sport criteria in areas like fitness, quickness or strength or sport specific measures ex. FT%, bench press 200lbs, 50m dash in 3 seconds
 
Validation
I herewith confirm the correctness and completeness of the information provided